Organization
1555 A NEW LLC
Active
Other names
Success TMS
Organization subpart
No
Provider details
NPI number
Authorized official
REBECCA CARTWRIGHT (DIRECTOR OF CREDENTIALING)
(561) 264-4406
Entity
Organization
Contact information
Practice address
1423 TILTON RD STE 6, NORTHFIELD, NJ 08225-1857
(609) 697-7933
Mailing address
1555 PALM BEACH LAKES BLVD, WEST PALM BEACH, FL 33401-2323
(561) 264-4406
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
Other
Enumeration date
05/19/2021
Last updated
09/17/2021
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