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45 W 17th St Riviera Beach FL 33404-6121 | |
| (561) 863-7481 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Residential Treatment Facility, Intellectual And/or Developmental Disabilities |
| Location | 45 W 17th St, Riviera Beach, Florida |
| Authorized Official Name and Position | Sandra M Cameron (ADMINISTRATOR) |
| Authorized Official Contact | 5618637481 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
45 W 17th St Riviera Beach FL 33404-6121 Ph: (561) 863-7481 | 45 W 17th St Riviera Beach FL 33404-6121 Ph: (561) 863-7481 |
| NPI Number | 1942605548 |
|---|---|
| Provider Enumeration Date | 10/27/2014 |
| Last Update Date | 10/27/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942605548 | NPI | - | NPPES |
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