NPI 1174836092
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Practice location
- Address
- 7156 Colony Club Dr 309, Lake Worth, FL 33463-7836
- Phone
- (561) 420-5120
- Mailing address
- 7156 Colony Club Dr, Lake Worth, FL 33463-7836
Authorised official
- Name
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- Title
- Doc
- Phone
- (561) 412-2015
Registered specialties
Psychiatric Hospital
Primary
Registry record
- NPI
- 1174836092
- Entity type
- Organization
- NPI issued
- 20 Jul 2010
- Record last updated
- 20 Jul 2010
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.