| All Stars Aba Llc | |
|
7750 Okeechobee Blvd Ste 4-418 West Palm Beach FL 33411-2104 | |
| (845) 507-2752 | |
| Not Available |
| Full Name | All Stars Aba Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 7750 Okeechobee Blvd Ste 4-418, West Palm Beach, Florida |
| Authorized Official Name and Position | Jacob Mytelka (PARTNER) |
| Authorized Official Contact | 5616210070 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| All Stars Aba Llc 3 E Evergreen Rd New City NY 10956-5101 Ph: (845) 634-1463 | All Stars Aba Llc 7750 Okeechobee Blvd Ste 4-418 West Palm Beach FL 33411-2104 Ph: (845) 507-2752 |
| NPI Number | 1487323812 |
|---|---|
| Provider Enumeration Date | 09/09/2021 |
| Last Update Date | 09/09/2021 |
| Certification Date | 09/09/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487323812 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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