Grassroots Treatment Center | |
2200 N Florida Mango Rd Suite 100 West Palm Beach FL 33409-6404 | |
(561) 249-2631 | |
(561) 444-6475 |
Full Name | Grassroots Treatment Center |
---|---|
Speciality | Counselor - Addiction (substance Use Disorder) |
Location | 2200 N Florida Mango Rd, West Palm Beach, Florida |
Authorized Official Name and Position | Chi Micah Seppala (MGMR) |
Authorized Official Contact | 5613134562 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Grassroots Treatment Center 2200 N Florida Mango Rd Suite 100 West Palm Beach FL 33409-6404 Ph: (561) 249-2631 | Grassroots Treatment Center 2200 N Florida Mango Rd Suite 100 West Palm Beach FL 33409-6404 Ph: (561) 249-2631 |
NPI Number | 1396104139 |
---|---|
Provider Enumeration Date | 02/22/2016 |
Last Update Date | 07/21/2022 |
Identifier | Type | State | Issuer |
---|---|---|---|
1396104139 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YA0400X | Counselor - Addiction (substance Use Disorder) | 5001 (Florida) | Primary |
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