MEDICARE: ALTERNATIVES IN TREATMENT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	324500000X	Substance Abuse Rehabilitation Facility

General Provider Information

NPI Number	:	1063875664
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ALTERNATIVES IN TREATMENT

Provider Business Mailing Address
First Line	:	7601 N FEDERAL HWY STE 100B
Second Line	:
City	:	BOCA RATON
State	:	FL
Zip	:	33487-1608
Country	:	US
Telephone Number	:	561-998-0866
Fax Number	:	561-430-5712

Provider Business Practice Location Address
First Line	:	5406 EAST AVE
Second Line	:
City	:	WEST PALM BEACH
State	:	FL
Zip	:	33407-2344
Country	:	US
Telephone Number	:	561-998-0866
Fax Number	:	561-430-5712

Authorized Official
Title or Position	:	CHIEF OPERATIONS OFFICER
Name	:	PETER WALSTROM
Credential	:	CFO
Telephone Number	:	561-998-0866

Provider Enumeration Date	:	03/31/2016
Last Update Date	:	03/31/2016

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Directions to “ALTERNATIVES IN TREATMENT ” Practice Location

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