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314 10th St West Palm Beach FL 33401-3318 | |
| (561) 833-7553 | |
| (561) 697-4345 |
| Full Name | |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 314 10th St, West Palm Beach, Florida |
| Authorized Official Name and Position | Jean Ann Dockery (DIRECTOR OF PATIENT ACCOUNTS) |
| Authorized Official Contact | 5618681607 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
314 10th St West Palm Beach FL 33401-3318 Ph: (561) 833-7553 | 314 10th St West Palm Beach FL 33401-3318 Ph: (561) 833-7553 |
| NPI Number | 1073954673 |
|---|---|
| Provider Enumeration Date | 07/11/2013 |
| Last Update Date | 07/11/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073954673 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
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