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Organization

IMARA COMMUNITY SERVICES

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. SHIRLEY ROBERTSON R.N. (PRESIDENT/CEO)
(561) 688-0870
Entity
Organization

Contact information

Practice address
2240 PALM BEACH LAKES BLVD, SUITE 400E, WEST PALM BEACH, FL 33409-3410
(561) 688-0870
(561) 537-7161
Mailing address
2240 PALM BEACH LAKES BLVD, SUITE 400E, WEST PALM BEACH, FL 33409-3410
(561) 688-0870
(561) 537-7161

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
RN9206737
FL
101YM0800X
Mental Health Counselor
RN1525422
FL
251B00000X
Case Management Agency
Primary

Other

Enumeration date
04/24/2008
Last updated
08/20/2008
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