Organization
WILLOW PLACE, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DIXIE BROWN MS, ICADC, CAP (EXECUTIVE DIRECTOR)
(561) 706-3185
Entity
Organization
Contact information
Practice address
400 EXECUTIVE CENTER, SUITE 203, WEST PALM BEACH, FL 33401-2922
(561) 623-0142
(561) 828-0390
Mailing address
400 EXECUTIVE CENTER, SUITE 203, WEST PALM BEACH, FL 33401-2922
(561) 623-0142
(561) 828-0390
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
—
FL
324500000X
Substance Abuse Rehabilitation Facility
Primary
1550AD426501
FL
Other
Enumeration date
01/24/2012
Last updated
12/10/2013
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