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2521 Metrocentre Blvd West Palm Beach FL 33407 | |
| (561) 335-3343 | |
| (561) 868-6555 |
| Full Name | |
|---|---|
| Speciality | Substance Abuse Rehabilitation Facility |
| Location | 2521 Metrocentre Blvd, West Palm Beach, Florida |
| Authorized Official Name and Position | Kelly Medina (CEO) |
| Authorized Official Contact | 5618416225 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
2521 Metrocentre Blvd West Palm Beach FL 33407-3106 Ph: (561) 841-6225 | 2521 Metrocentre Blvd West Palm Beach FL 33407 Ph: (561) 335-3343 |
| NPI Number | 1487194700 |
|---|---|
| Provider Enumeration Date | 03/06/2017 |
| Last Update Date | 07/21/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487194700 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 5001 (Florida) | Secondary |
| 324500000X | Substance Abuse Rehabilitation Facility | (* (Not Available)) | Primary |
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