Organization
SEPPALA CORP
Active
Other names
Grassroots Treatment Center
Organization subpart
No
Provider details
NPI number
Authorized official
CHI MICAH SEPPALA (MGMR)
(561) 313-4562
Entity
Organization
Contact information
Practice address
2200 N FLORIDA MANGO RD, SUITE 100, WEST PALM BEACH, FL 33409-6404
(561) 249-2631
(561) 444-6475
Mailing address
2200 N FLORIDA MANGO RD, SUITE 100, WEST PALM BEACH, FL 33409-6404
(561) 249-2631
(561) 444-2715
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
5001
FL
Other
Enumeration date
02/22/2016
Last updated
07/21/2022
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