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4900 Linton Blvd Suite 17 Delray Beach FL 33445-6688 | |
| (561) 496-4870 | |
| (561) 395-7584 |
| Full Name | |
|---|---|
| Speciality | Substance Abuse Rehabilitation Facility |
| Location | 4900 Linton Blvd, Delray Beach, Florida |
| Authorized Official Name and Position | Steven Manko (OWNER) |
| Authorized Official Contact | 5614964870 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
321 W Camino Real Boca Raton FL 33432-5705 Ph: (561) 496-4870 | 4900 Linton Blvd Suite 17 Delray Beach FL 33445-6688 Ph: (561) 496-4870 |
| NPI Number | 1316109101 |
|---|---|
| Provider Enumeration Date | 07/02/2008 |
| Last Update Date | 07/02/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316109101 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Secondary |
| 324500000X | Substance Abuse Rehabilitation Facility | 1550AD041401 (Florida) | Primary |
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