Organization
COMPREHENSIVE OUTPATIENT RECOVERY, TREATMENT & EVALUATION, INC.
Active
Organization
COMPREHENSIVE OUTPATIENT RECOVERY, TREATMENT & EVALUATION, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SCOTT MICHAEL COSTANZA PSY.D. (CLINICAL DIRECTOR)
(561) 279-9295
Entity
Organization
Contact information
Practice address
1200 N FEDERAL HWY STE 200, BOCA RATON, FL 33432-2813
(561) 279-9295
Mailing address
1200 N FEDERAL HWY STE 200, BOCA RATON, FL 33432-2813
(561) 279-9295
Taxonomy
Speciality
Code
Description
License number
State
103TA0400X
Addiction (Substance Use Disorder) Psychologist
PY5739
FL
103TC0700X
Clinical Psychologist
PY5739
FL
103TC2200X
Clinical Child & Adolescent Psychologist
PY5739
FL
103TF0200X
Forensic Psychologist
PY5739
FL
103TM1800X
Intellectual & Developmental Disabilities Psychologist
PY5739
FL
103TP2701X
Group Psychotherapy Psychologist
PY5739
FL
106H00000X
Marriage & Family Therapist
PY5739
FL
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
11/12/2008
Last updated
06/05/2020
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