2110 WEST PALM FACILITY,LLC
NPI 1245615863
Clinic/Center - Rehabilitation, Substance Use Disorder in West Palm Beach, FL
Active since July 24, 2015
2110 N FLORIDA MANGO RD, WEST PALM BEACH, FL 33409(561) 404-5871(561) 318-6413 Get Directions Write a Review
About 2110 West Palm Facility,llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
2110 WEST PALM FACILITY,LLC (NPI 1245615863) is a healthcare organization registered as a rehabilitation, substance use disorder in West Palm Beach, Florida and active in the NPI registry since July 2015. The organization lists Larry Hawkins, Owner, as its authorized official.
NPPES Registry Identity
NPI1245615863
Entity TypeOrganization
Primary Taxonomy261QR0405X
Legal Business Name2110 WEST PALM FACILITY,LLC
Location Address2110 N FLORIDA MANGO RDWest Palm Beach, FL 33409-6492
Mailing Address2110 N Florida Mango RdWest Palm Beach, FL 33409-6492 · (561) 404-5871 · Fax (561) 318-6413
Phone(561) 404-5871
Fax(561) 318-6413
Organization SubpartNo
Authorized OfficialLarry HawkinsOwner · (561) 832-4780
Enumeration DateJuly 24, 2015
Last NPPES UpdateApril 14, 2016
✔ NPI 1245615863 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses 2
★ Primary SpecialtyClinic/Center · Rehabilitation, Substance Use DisorderAmbulatory Health Care Facilities
Taxonomy Code261QR0405X
Also ListedClinical Medical LaboratoryTaxonomy 291U00000X · License 10D2032848 (FL)
2110 N FLORIDA MANGO RD, West Palm Beach, FL 33409
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1245615863, enumerated as an "organization" on July 24, 2015.
The provider is located at 2110 N FLORIDA MANGO RD WEST PALM BEACH, FL 33409 and the phone number is (561) 404-5871.
Clinic/Center with taxonomy code 261QR0405X and a focus in Rehabilitation, Substance Use Disorder.
