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2809 Poinsettia Ave Ste 3-5 West Palm Beach FL 33407-5426 | |
| (561) 469-9934 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 2809 Poinsettia Ave Ste 3-5, West Palm Beach, Florida |
| Authorized Official Name and Position | Keren Marie Roesser (CEO) |
| Authorized Official Contact | 5613988336 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
2809 Poinsettia Ave West Palm Beach FL 33407-5426 Ph: (561) 469-9934 | 2809 Poinsettia Ave Ste 3-5 West Palm Beach FL 33407-5426 Ph: (561) 469-9934 |
| NPI Number | 1437669728 |
|---|---|
| Provider Enumeration Date | 10/02/2017 |
| Last Update Date | 02/17/2020 |
| Certification Date | 02/17/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437669728 | NPI | - | NPPES |
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