Organization Name: | PALM BEACH DRUG TESTING, LLC. |
NPI Number: | 1295086965 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | ROBERT GUNTHER (MGRMBR) |
Mailing Address: | 12300 Alt A1a Suite 209 E North Palm Beach |
State: | FL US |
Postal Code: | 33410 |
Phone Number: | 5612914148 |
Fax Number: | 8885939226 |
NPI Enumeration Date: | 09/21/2012 |
NPI Last Update Date: | 02/19/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TC0700X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: |