# SEPPALA CORP

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** Grassroots Treatment Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1396104139
- **Authorized official:** CHI MICAH SEPPALA (MGMR)
- **Authorized official phone:** (561) 313-4562

## Contact information

- **Practice address:** 2200 N FLORIDA MANGO RD, SUITE 100, WEST PALM BEACH, FL 33409-6404
- **Practice address phone:** (561) 249-2631
- **Practice address fax:** (561) 444-6475
- **Mailing address:** 2200 N FLORIDA MANGO RD, SUITE 100, WEST PALM BEACH, FL 33409-6404
- **Mailing address phone:** (561) 249-2631
- **Mailing address fax:** (561) 444-2715

## Taxonomy

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

## Other

- **Enumeration date:** 02/22/2016
- **Last updated:** 07/21/2022