Organization
DELRAY BEACH INTENSIVE OUTPATIENT PROGRAM LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALLEN SERGIO MCCORMICK PH.D, LCSW, CAP (PRESIDENT)
(561) 894-6010
Entity
Organization
Contact information
Practice address
301 W ATLANTIC AVE, SUITE 0-5, DELRAY BEACH, FL 33444-3687
(561) 894-6010
(305) 647-0680
Mailing address
301 W ATLANTIC AVE, SUITE 0-5, DELRAY BEACH, FL 33444-3687
(561) 894-6010
(305) 647-0680
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
SW3546
FL
Other
Enumeration date
07/24/2012
Last updated
07/24/2012
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