Primary Mdpsych LLC
Clinic/Center, Adult Mental Health in Palm Beach Gardens, FL. Organization (NPI-2).
NPI number1417618893
StatusActive
Last updated in NPPESJan 6, 2022
Details
- NPI
- 1417618893
- Entity type
- Organization (NPI-2)
- Legal business name
- Primary Mdpsych LLC
- Organization subpart
- No
- Enumeration date
- Jan 6, 2022
- Certification date
- Jan 6, 2022
- Last updated
- Jan 6, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QM0850X | Clinic/Center, Adult Mental Health | – | – | Yes |
| 261QM0855X | Clinic/Center, Adolescent and Children Mental Health | – | – | |
| 261QP2300X | Clinic/Center, Primary Care | – | – |
Practice location
11015 Legacy Ln Apt 203Palm Beach Gardens, FL 33410-3612
Phone 561-420-6419
Mailing address
55 Bonnie DrManalapan, NJ 07726-1858
Phone 561-420-6419
Authorized official
Miryam Arjona
Owner
5614206419
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All 9 Adult Mental Health Clinic/Center providers in Palm Beach Gardens · All 3,446 providers in Palm Beach Gardens
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