Organization
SEASIDE WELLNESS OF PALM BEACH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. NICHOLAS PETRILLO (CEO, OWNER)
(978) 440-3200
Entity
Organization
Contact information
Practice address
106 BLOSSOM LN, PALM BEACH SHORES, FL 33404-5705
(888) 831-4855
(949) 606-0488
Mailing address
621 NW 53RD ST STE 370, BOCA RATON, FL 33487-8241
(978) 788-4460
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
—
—
323P00000X
Psychiatric Residential Treatment Facility
Primary
—
—
324500000X
Substance Abuse Rehabilitation Facility
—
—
Other
Enumeration date
02/28/2025
Last updated
03/03/2025
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