OrganizationActive
1017 N Olive LLC
NPI 1568140986 · Psychiatric Residential Treatment Facility · West Palm Beach, FL
Provider details
- NPI number
- 1568140986
- Entity type
- Organization
- Primary specialty
- Psychiatric Residential Treatment FacilityResidential Treatment Facilities
- Authorized official
- Alexandra Korotkevich, Ceo
Practice location
1017 N Olive Ave
West Palm Beach, FL 33401-3511
Phone: (561) 222-1719
Mailing address
301 E Yamato Rd Ste 1130
Boca Raton, FL 33431-4929
Registry dates
- Enumerated
- 2023-07-06
- Last updated
- 2023-07-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.