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4802 East Ave West Palm Beach FL 33407-2426 | |
(732) 370-4030 | |
(732) 370-3013 |
Full Name | |
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Speciality | Clinic/center - Rehabilitation, Substance Use Disorder |
Location | 4802 East Ave, West Palm Beach, Florida |
Authorized Official Name and Position | Chaim Rottenberg (CEO) |
Authorized Official Contact | 3475225970 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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150 Airport Rd Ste 900 Lakewood NJ 08701-6988 Ph: (516) 668-9675 | 4802 East Ave West Palm Beach FL 33407-2426 Ph: (732) 370-4030 |
NPI Number | 1326620667 |
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Provider Enumeration Date | 04/26/2021 |
Last Update Date | 06/30/2023 |
Certification Date | 06/30/2023 |
Identifier | Type | State | Issuer |
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1326620667 | NPI | - | NPPES |
110710100 | Medicaid | FL |
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