# PALM BEACH ADDICTION CENTER LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1245784610
- **Authorized official:** MR. MATT NOEL (ADMINSTRATOR)
- **Authorized official phone:** (561) 568-6787

## Contact information

- **Practice address:** 4196 LAKE WORTH RD, LAKE WORTH, FL 33461-3933
- **Practice address phone:** (561) 568-6188
- **Mailing address:** 4196 LAKE WORTH RD, LAKE WORTH, FL 33461-3933

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | 5001 | FL | Yes |

## Other

- **Enumeration date:** 08/15/2016
- **Last updated:** 07/21/2022