NPI 1568140986

1017 N Olive LLC

Organisation Psychiatric Residential Treatment Facility West Palm Beach, FL

Practice location

Address: 1017 N Olive Ave, West Palm Beach, FL 33401-3511
Phone: (561) 222-1719
Mailing address: 301 E Yamato Rd STE 1130, Boca Raton, FL 33431-4929

Authorised official

Name: Alexandra Korotkevich
Title: Ceo
Phone: (561) 222-1719

Registered specialties (2)

Psychiatric Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 323P00000X

Other Psychiatric Residential Treatment Facility providers in Florida →

Mental Health Clinic/Center (Including Community Mental Health Center)

Ambulatory Health Care Facilities Taxonomy 261QM0801X

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Registry record

NPI: 1568140986
Entity type: Organization
NPI issued: 6 Jul 2023
Record last updated: 23 Jun 2026

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.