| True Care Mental Health Llc | |
|
1968 S Congress Ave West Palm Beach FL 33406-6674 | |
| (561) 410-5433 | |
| Not Available |
| Full Name | True Care Mental Health Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 1968 S Congress Ave, West Palm Beach, Florida |
| Authorized Official Name and Position | Jose Gustavo Cevallos (CEO) |
| Authorized Official Contact | 5614338900 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| True Care Mental Health Llc 1968 S Congress Ave West Palm Beach FL 33406-6674 Ph: (561) 410-5433 | True Care Mental Health Llc 1968 S Congress Ave West Palm Beach FL 33406-6674 Ph: (561) 410-5433 |
| NPI Number | 1952915597 |
|---|---|
| Provider Enumeration Date | 09/01/2020 |
| Last Update Date | 09/01/2020 |
| Certification Date | 09/01/2020 |
| Medicare PECOS PAC ID | 1254735574 |
|---|---|
| Medicare Enrollment ID | O20210810000233 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952915597 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Jose G Cevallos |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1922236736 PECOS PAC ID: 7719112382 Enrollment ID: I20131107000497 |
| Provider Name | Daryl Keith Wasserman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043923865 PECOS PAC ID: 3072910496 Enrollment ID: I20230308001120 |
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