Organization
SEPPALA CORP
Active
Other names
Grass Roots Treatment Center
Organization subpart
No
Provider details
NPI number
Authorized official
CHI M SEPPALA (OWNER)
(561) 313-4562
Entity
Organization
Contact information
Practice address
2200 FLORIDA MANGO RD STE 100, WEST PALM BEACH, FL 33409-6448
(561) 313-4562
Mailing address
2200 FLORIDA MANGO RD STE 100, WEST PALM BEACH, FL 33409-6448
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
TBD
FL
Other
Enumeration date
01/30/2015
Last updated
01/19/2016
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