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Organization
ONYX BEHAVIORAL HEALTH, LLC
Active
Organization
ONYX BEHAVIORAL HEALTH, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SAMUEL PHILIP KESARIS (CEO, OWNER)
(954) 665-3826
Entity
Organization
Contact information
Practice address
699 NW AIROSO BLVD, PORT ST LUCIE, FL 34983-1108
(772) 205-3160
(772) 673-0218
Mailing address
699 NW AIROSO BLVD, PORT ST LUCIE, FL 34983-1108
(772) 205-3160
(772) 673-0218
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
NULL
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
323P00000X
Psychiatric Residential Treatment Facility
Primary
—
NULL
324500000X
Substance Abuse Rehabilitation Facility
—
NULL
Other
Enumeration date
03/14/2023
Last updated
11/15/2023
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