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7711 N Military Trl Ste 1014 West Palm Beach FL 33410-6506 | |
| (561) 847-5688 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 7711 N Military Trl Ste 1014, West Palm Beach, Florida |
| Authorized Official Name and Position | Nathan I Hudson (OWNER) |
| Authorized Official Contact | 5618475688 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
14540 62nd Ct N Loxahatchee FL 33470-4583 Ph: (561) 847-5688 | 7711 N Military Trl Ste 1014 West Palm Beach FL 33410-6506 Ph: (561) 847-5688 |
| NPI Number | 1760081202 |
|---|---|
| Provider Enumeration Date | 10/24/2020 |
| Last Update Date | 08/31/2023 |
| Certification Date | 08/31/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760081202 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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