| Prr Llc | |
|
4781 N Congress Ave Ste 117 Boynton Beach FL 33426-7941 | |
| (561) 305-8572 | |
| Not Available |
| Full Name | Prr Llc |
|---|---|
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 4781 N Congress Ave Ste 117, Boynton Beach, Florida |
| Authorized Official Name and Position | Richard William Bergida (CEO) |
| Authorized Official Contact | 5613058572 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Prr Llc 4781 N Congress Ave Ste 117 Boynton Beach FL 33426-7941 Ph: (561) 305-8572 | Prr Llc 4781 N Congress Ave Ste 117 Boynton Beach FL 33426-7941 Ph: (561) 305-8572 |
| NPI Number | 1336696566 |
|---|---|
| Provider Enumeration Date | 09/06/2016 |
| Last Update Date | 09/06/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336696566 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Primary |
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