MEDICARE: DRUG ABUSE FOUNDATION OF PALM BEACH COUNTY, INC

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	0950AD462501	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1851557193
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DRUG ABUSE FOUNDATION OF PALM BEACH COUNTY, INC

Provider Business Mailing Address
First Line	:	400 S SWINTON AVE
Second Line	:
City	:	DELRAY BEACH
State	:	FL
Zip	:	33444-3553
Country	:	US
Telephone Number	:	561-278-0000
Fax Number	:	561-276-8852

Provider Business Practice Location Address
First Line	:	400 S SWINTON AVE
Second Line	:
City	:	DELRAY BEACH
State	:	FL
Zip	:	33444-3553
Country	:	US
Telephone Number	:	561-278-0000
Fax Number	:	561-276-8852

Authorized Official
Title or Position	:	EXECUTIVE DIRECTOR/CEO
Name	:	MR. ALTON TAYLOR
Credential	:
Telephone Number	:	561-278-0000

Provider Enumeration Date	:	08/06/2008
Last Update Date	:	08/06/2008

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