Organization · NPI-2

Altha Mental Health Institute LLC

Clinic/Center, Adult Mental Health · Boca Raton, FL

NPI number1699531905

StatusActive

Last updated in NPPESFeb 23, 2024

Details

NPI: 1699531905
Entity type: Organization (NPI-2)
Legal business name: Altha Mental Health Institute LLC
Organization subpart: No
Enumeration date: Feb 23, 2024
Certification date: Feb 23, 2024
Last updated: Feb 23, 2024

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
261QM0850X	Clinic/Center, Adult Mental Health	–	–	Yes
101Y00000X	Counselor	–	–
101YA0400X	Counselor, Addiction (Substance Use Disorder)	–	–
163WP0807X	Registered Nurse, Psych/Mental Health, Child & Adolescent	–	–
163WP0808X	Registered Nurse, Psych/Mental Health	–	–
163WP0809X	Registered Nurse, Psych/Mental Health, Adult	–	–
261QM0801X	Clinic/Center, Mental Health (Including Community Mental Health Center)	–	–
261QM0855X	Clinic/Center, Adolescent and Children Mental Health	–	–
363LP0808X	Nurse Practitioner, Psych/Mental Health	–	–

Other names

Altha Mental Health (Former Legal Business Name)

Practice location

21301 Powerline Rd Ste 103
Boca Raton, FL 33433-2389

Phone 561-441-1539

Mailing address

21301 Powerline Rd Ste 103
Boca Raton, FL 33433-2389

Phone 561-441-1539

Authorized official

Roberta P Decastro
Ceo
5614411539

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