OrganizationActive
2110 West Palm Facility,llc
NPI 1245615863 · Substance Use Disorder Rehabilitation Clinic/Center · West Palm Beach, FL
Provider details
- NPI number
- 1245615863
- Entity type
- Organization
- Primary specialty
- Substance Use Disorder Rehabilitation Clinic/CenterAmbulatory Health Care Facilities
- Authorized official
- Larry Hawkins, Owner
- License
- 10D2032848 (FL)
Practice location
2110 N Florida Mango Rd
West Palm Beach, FL 33409-6492
Phone: (561) 404-5871
Fax: (561) 318-6413
Mailing address
2110 N Florida Mango Rd
West Palm Beach, FL 33409-6492
Registry dates
- Enumerated
- 2015-07-24
- Last updated
- 2016-04-14
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.