| Delray Beach Intensive Outpatient Program Llc | |
|
301 W Atlantic Ave Suite 0-5 Delray Beach FL 33444-3687 | |
| (561) 894-6010 | |
| (305) 647-0680 |
| Full Name | Delray Beach Intensive Outpatient Program Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 301 W Atlantic Ave, Delray Beach, Florida |
| Authorized Official Name and Position | Allen Sergio Mccormick (PRESIDENT) |
| Authorized Official Contact | 5618946010 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Delray Beach Intensive Outpatient Program Llc 301 W Atlantic Ave Suite 0-5 Delray Beach FL 33444-3687 Ph: (561) 894-6010 | Delray Beach Intensive Outpatient Program Llc 301 W Atlantic Ave Suite 0-5 Delray Beach FL 33444-3687 Ph: (561) 894-6010 |
| NPI Number | 1821343146 |
|---|---|
| Provider Enumeration Date | 07/24/2012 |
| Last Update Date | 07/24/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821343146 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | SW3546 (Florida) | Primary |
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