Professional Training Association Corporation
NPI #1013059401 in North Palm Baech, Florida
Provider Information
- NPI Number
- 1013059401
- Entity Type
- Organization
- Organization Name
- Professional Training Association Corporation
- Primary Specialty
- Clinic/Center - Rehabilitation, Substance Use Disorder
- Enumeration Date
- Feb 13, 2007
- Last Updated
- Feb 11, 2014
Practice Location
- Address
- 321 NORTHLAKE BLVD
- Address 2
- #102
- City
- North Palm Baech
- State
- Florida
- ZIP Code
- 33408
- Phone
- (561) 494-0866
Authorized Official
- Name
- DR. MITCHELL E. WALLICK
- Title
- EXECUTIVE DIRECTOR
- Phone
- (561) 494-0866
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Mental Health — Mental Health |
| Clinic/Center - Mental Health (Including Community Mental Health Center) — Mental Health (Including Community Mental Health Center) |
| Clinic/Center - Rehabilitation, Substance Use Disorder — Rehabilitation, Substance Use Disorder |
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