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NPI Code Detail

MEDICARE: NATIONAL ALLIANCE ON MENTAL ILLNESS OF PALM BEACH

MEDICARE: NATIONAL ALLIANCE ON MENTAL ILLNESS OF PALM BEACH
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
1251V00000XVoluntary or Charitable Agency

General Provider Information

NPI Number : 1417207192
Entity Type Code : Organization
Provider Name (Legal Business Name) : NATIONAL ALLIANCE ON MENTAL ILLNESS OF PALM BEACH
Provider Business Mailing Address
First Line : 1520 10TH AVE N
Second Line : SUITE D
City : LAKE WORTH
State : FL
Zip : 33460-2069
Country : US
Telephone Number : 561-588-3477
Fax Number :
Provider Business Practice Location Address
First Line : 1520 10TH AVE N
Second Line : SUITE D
City : LAKE WORTH
State : FL
Zip : 33460-2069
Country : US
Telephone Number : 561-588-3477
Fax Number :
Authorized Official
Title or Position : VICE PRESIDENT
Name : MR. MANUEL KUSHNER
Credential :
Telephone Number : 561-265-1099
Provider Enumeration Date : 09/11/2012
Last Update Date : 09/11/2012

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Directions to “NATIONAL ALLIANCE ON MENTAL ILLNESS OF PALM BEACH ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.