Wayside House, Inc. | |
328 Ne 6th Ave Delray Beach FL 33483-5517 | |
(561) 666-9154 | |
(561) 294-0178 |
Full Name | Wayside House, Inc. |
---|---|
Speciality | Community/behavioral Health |
Location | 328 Ne 6th Ave, Delray Beach, Florida |
Authorized Official Name and Position | Lisa Gail Mcwhorter (CEO) |
Authorized Official Contact | 5616669154 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Wayside House, Inc. 378 Ne 6th Ave Delray Beach FL 33483 Ph: (561) 666-9168 | Wayside House, Inc. 328 Ne 6th Ave Delray Beach FL 33483-5517 Ph: (561) 666-9154 |
NPI Number | 1639635980 |
---|---|
Provider Enumeration Date | 02/12/2019 |
Last Update Date | 07/01/2022 |
Certification Date | 07/01/2022 |
Identifier | Type | State | Issuer |
---|---|---|---|
1639635980 | NPI | - | NPPES |
103939900 | Medicaid | FL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103TA0400X | Psychologist - Addiction (substance Use Disorder) | (* (Not Available)) | Secondary |
251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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