PROFESSIONAL TRAINING ASSOCIATION CORPORATION NPI 1013059401

NPI Information

  • NPI: 1013059401
  • Provider Name: PROFESSIONAL TRAINING ASSOCIATION CORPORATION
  • Classification: Clinic/Center - 261QR0405X
  • Specialization: Rehabilitation, Substance Use Disorder
  • Entity Type: Organization
  • Address: 321 NORTHLAKE BLVD
    #102
    NORTH PALM BAECH, FL
    ZIP 33408
  • Phone: (561) 494-0866

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NPI Details

PROFESSIONAL TRAINING ASSOCIATION CORPORATION is a rehabilitation and substance use disorder clinic center in North Palm Baech, FL. PROFESSIONAL TRAINING ASSOCIATION CORPORATION NPI is 1013059401. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

321 NORTHLAKE BLVD
#102
NORTH PALM BAECH, FL
ZIP 33408
Phone: (561) 494-0866
Fax: (561) 494-0984

The provider's authorized official is Mitchell E. Wallick .
The authorized official title is Executive Director and has the following contact phone number (561) 494-0866.

The enumeration date for this NPI number is 2/13/2007 and was last updated on 2/11/2014.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101YM0800XCounselorMental HealthFLORIDANo
2261QM0801XClinic/CenterMental Health (Including Community Mental Health Center)1550AD384701FLORIDANo
3261QR0405XClinic/CenterRehabilitation, Substance Use Disorder0950AD384702FLORIDAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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