Willow Place, Inc

NPI 1578834438 - Substance Abuse Rehabilitation Facility - 324500000X

NPI Details
NPI 1578834438
Enumeration Date 01/24/2012
Last Updated 12/10/2013
Entity Type Healthcare Provider
Active Over 4 years ago
Authorized Information
Name DIXIE DIXIE
Position EXECUTIVE DIRECTOR
Phone (561) 623-0142
Fax (561) 828-0390
Practice Location
400 EXECUTIVE CENTER
SUITE 203
WEST PALM BEACH FL, 33401-2922, US
Phone (561) 623-0142
Fax (561) 828-0390
Business Location
400 EXECUTIVE CENTER
SUITE 203
WEST PALM BEACH FL, 33401-2922, US
Phone (561) 623-0142
Fax (561) 828-0390
Toxanomy
Taxonomy Code 324500000X
License State Florida
License Number 1550AD426501
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According to our database, Willow Place, Inc NPI is 1578834438, taxonomy code is 324500000X and license number is 1550AD426501, license state is located at Florida. Willow Place, Inc physically located at 400 Executive Center, West Palm Beach FL, 33401-2922. NPI Number 1033115704 has the healthcare provider type.

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1578834438 NPI number is provided on an as is basis without warranty of any kind. 1578834438 is maintained by the National Plan & Provider Enumeration System. The contents of Willow Place, Inc are for informational purposes only.