Modern Reality | |
200 Knuth Rd Ste 101 Boynton Beach FL 33436-4635 | |
(561) 402-9655 | |
Not Available |
Full Name | Modern Reality |
---|---|
Speciality | Clinic/center - Adolescent And Children Mental Health |
Location | 200 Knuth Rd Ste 101, Boynton Beach, Florida |
Authorized Official Name and Position | Casey Brannigan (OWNER) |
Authorized Official Contact | 5614029655 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Modern Reality 200 Knuth Rd Ste 101 Boynton Beach FL 33436-4635 Ph: (561) 402-9655 | Modern Reality 200 Knuth Rd Ste 101 Boynton Beach FL 33436-4635 Ph: (561) 402-9655 |
NPI Number | 1528628856 |
---|---|
Provider Enumeration Date | 06/18/2019 |
Last Update Date | 06/18/2019 |
Identifier | Type | State | Issuer |
---|---|---|---|
1528628856 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM0855X | Clinic/center - Adolescent And Children Mental Health | (* (Not Available)) | Primary |
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