Healthcare Provider Details

I. General information

NPI: 1316109101
Provider Name (Legal Business Name): TREATMENT ALTERNATIVES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/02/2008
Last Update Date: 07/02/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4900 LINTON BLVD SUITE 17
DELRAY BEACH FL
33445-6688
US

IV. Provider business mailing address

321 W CAMINO REAL
BOCA RATON FL
33432-5705
US

V. Phone/Fax

Practice location:
  • Phone: 561-496-4870
  • Fax: 561-395-7584
Mailing address:
  • Phone: 561-496-4870
  • Fax: 561-395-7584

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code324500000X
TaxonomySubstance Abuse Rehabilitation Facility
License Number1550AD041401
License Number StateFL

VIII. Authorized Official

Name: MR. STEVEN MANKO
Title or Position: OWNER
Credential:
Phone: 561-496-4870