Organization
COMPREHENSIVE ADDICTION RECOVERY EDUCATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MITCHELL WALLICK PH.D. (EXECUTIVE DIRECTOR)
(561) 494-0866
Entity
Organization
Contact information
Practice address
321 NORTHLAKE BLVD, SUITE 102, NORTH PALM BEACH, FL 33408-5422
(561) 494-0866
(561) 494-0984
Mailing address
321 NORTHLAKE BLVD, SUITE 102, NORTH PALM BEACH, FL 33408-5422
(561) 494-0866
(561) 494-0984
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
171100000X
Acupuncturist
—
—
174400000X
Specialist
—
—
2084P0802X
Addiction Psychiatry Physician
Primary
—
—
Other
Enumeration date
12/03/2013
Last updated
12/03/2013
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