Organization
THE TAJ MEMORIAL HEALTH CENTER
Active
Other names
The Treatment Center of the Palm Beaches
Organization subpart
No
Provider details
NPI number
Authorized official
BILL RUSSELL (CEO)
(954) 587-7771
Entity
Organization
Contact information
Practice address
4905 LANTANA RD, LAKE WORTH, FL 33463-6915
(561) 253-6790
(561) 228-0659
Mailing address
PO BOX 541119, GREENACRES, FL 33454-1119
(561) 253-6790
(561) 228-0659
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
1550AD590201
FL
Other
Enumeration date
02/09/2011
Last updated
02/09/2011
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