Healthcare Provider Details

I. General information

NPI: 1720887904
Provider Name (Legal Business Name): DIAMOND OUTPATIENT LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/11/2025
Last Update Date: 10/30/2025
Certification Date: 10/30/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11891 US HIGHWAY 1 STE 104
NORTH PALM BEACH FL
33408-2864
US

IV. Provider business mailing address

11891 US HIGHWAY 1 STE 104
NORTH PALM BEACH FL
33408-2864
US

V. Phone/Fax

Practice location:
  • Phone: 772-812-9652
  • Fax: 833-535-0164
Mailing address:
  • Phone: 772-812-9652
  • Fax: 833-535-0164

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 TaxonomyN
Taxonomy Code261QM0850X
TaxonomyAdult Mental Health Clinic/Center
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code261QR0405X
TaxonomySubstance Use Disorder Rehabilitation Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: ADAM MULTZ
Title or Position: CEO
Credential:
Phone: 844-909-2525