Healthcare Provider Details

I. General information

NPI: 1861743296
Provider Name (Legal Business Name): NEW OBJECTIVES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/25/2012
Last Update Date: 11/26/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8144 OKEECHOBEE BLVD SUITE A
WEST PALM BEACH FL
33411-2004
US

IV. Provider business mailing address

8144 OKEECHOBEE BLVD SUITE A
WEST PALM BEACH FL
33411-2004
US

V. Phone/Fax

Practice location:
  • Phone: 888-908-3854
  • Fax:
Mailing address:
  • Phone: 888-908-3854
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code324500000X
TaxonomySubstance Abuse Rehabilitation Facility
License Number1550AD980001
License Number StateFL

VIII. Authorized Official

Name: JOSE FLORES
Title or Position: ACCOUNT SPECIALIST
Credential:
Phone: 754-201-2265