| Connected Warriors Behavioral Health Treatment Center | |
|
21301 Powerline Rd Ste 106 Boca Raton FL 33433-2389 | |
| (954) 278-3764 | |
| (561) 295-4009 |
| Full Name | Connected Warriors Behavioral Health Treatment Center |
|---|---|
| Speciality | Counselor |
| Location | 21301 Powerline Rd Ste 106, Boca Raton, Florida |
| Authorized Official Name and Position | Judy Lynn Weaver (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 9542783764 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Connected Warriors Behavioral Health Treatment Center 21301 Powerline Rd Ste 106 Boca Raton FL 33433-2389 Ph: (954) 278-3764 | Connected Warriors Behavioral Health Treatment Center 21301 Powerline Rd Ste 106 Boca Raton FL 33433-2389 Ph: (954) 278-3764 |
| NPI Number | 1790330504 |
|---|---|
| Provider Enumeration Date | 08/08/2019 |
| Last Update Date | 07/25/2022 |
| Certification Date | 07/25/2022 |
| Medicare PECOS PAC ID | 4789067331 |
|---|---|
| Medicare Enrollment ID | O20220816000358 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790330504 | NPI | - | NPPES |
| Provider Name | Thais Harris |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1497220354 PECOS PAC ID: 7315320967 Enrollment ID: I20220816000425 |
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