Organization
ULTIMATE TRANSFORMATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRIAN P TULLY (CEO)
(561) 386-9466
Entity
Organization
Contact information
Practice address
618 US HIGHWAY 1, SUITE 200, NORTH PALM BEACH, FL 33408
(561) 386-9466
Mailing address
618 US HIGHWAY 1, SUITE #200, NORTH PALM BEACH, FL 33408-4623
(561) 386-9466
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
5046374645901
FL
Other
Enumeration date
09/11/2015
Last updated
09/11/2015
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