| Delete Organization Npi | |
|
1551 Forum Pl West Palm Beach FL 33401-2319 | |
| (561) 712-8821 | |
| (561) 217-8070 |
| Full Name | Delete Organization Npi |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1551 Forum Pl, West Palm Beach, Florida |
| Authorized Official Name and Position | Ronald William Fox (THERAPIST/SUPERVISOR) |
| Authorized Official Contact | 7728738811 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Delete Organization Npi 1062 Sw Payne Ave Port St Lucie FL 34953-3472 Ph: (772) 249-5878 | Delete Organization Npi 1551 Forum Pl West Palm Beach FL 33401-2319 Ph: (561) 712-8821 |
| NPI Number | 1275809964 |
|---|---|
| Provider Enumeration Date | 03/27/2012 |
| Last Update Date | 04/03/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275809964 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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