Organization
PALM BEACH ADDICTION CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MATT NOEL (ADMINSTRATOR)
(561) 568-6787
Entity
Organization
Contact information
Practice address
4196 LAKE WORTH RD, LAKE WORTH, FL 33461-3933
(561) 568-6188
Mailing address
4196 LAKE WORTH RD, LAKE WORTH, FL 33461-3933
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
5001
FL
Other
Enumeration date
08/15/2016
Last updated
07/21/2022
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