# PRR LLC

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

## Provider details

- **NPI number:** 1336696566
- **Authorized official:** RICHARD WILLIAM BERGIDA (CEO)
- **Authorized official phone:** (561) 305-8572

## Contact information

- **Practice address:** 4781 N CONGRESS AVE STE 117, BOYNTON BEACH, FL 33426-7941
- **Practice address phone:** (561) 305-8572
- **Mailing address:** 4781 N CONGRESS AVE STE 117, BOYNTON BEACH, FL 33426-7941
- **Mailing address phone:** (561) 305-8572

## Taxonomy

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

## Other

- **Enumeration date:** 09/06/2016
- **Last updated:** 09/06/2016