Healthcare Provider Details

I. General information

NPI: 1396991048
Provider Name (Legal Business Name): COMPREHENSIVE ALCOHOLISM REHABILITATION PROGRAMS, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/13/2008
Last Update Date: 08/13/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5410 EAST AVE
WEST PALM BEACH FL
33407-2344
US

IV. Provider business mailing address

PO BOX 2507
WEST PALM BEACH FL
33402-2507
US

V. Phone/Fax

Practice location:
  • Phone: 561-844-6400
  • Fax: 561-844-7575
Mailing address:
  • Phone: 561-844-6400
  • Fax: 561-844-7575

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code324500000X
TaxonomySubstance Abuse Rehabilitation Facility
License Number
License Number State

VIII. Authorized Official

Name: MR. ROBERT P BOZZONE
Title or Position: EXECUTIVE DIRECTOR/CEO
Credential: LMHC,LMHC,CAP,MAC
Phone: 561-844-6400