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LAKE WORTH, FL
NPI1578858031
Entity TypeOrganization
Authorized ContactKEVIN D'ADAMO
Owner
954-678-0078
Organization Subpart ?No
Primary Taxonomy261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder
Enumeration Date2011-06-13
Last Update Date2013-02-28
Business Address
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1718 N FEDERAL HWY
LAKE WORTH, FL 33460-6643
Phone number: 954-678-0078
Mailing Address
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1718 N FEDERAL HWY
LAKE WORTH, FL 33460-6643
Phone number: 954-746-8232