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SEPPALA CORP NPI 1396104139


NPI Information

NPI: 1396104139
Provider Name: SEPPALA CORP

Doing Business As: GRASSROOTS TREATMENT CENTER

Classification: Counselor - 101YA0400X
Entity Type: Organization

Specialization: Addiction (Substance Use Disorder)

Address:
2200 N FLORIDA MANGO RD
SUITE 100
WEST PALM BEACH, FL
ZIP 33409
Phone: (561) 249-2631
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SEPPALA CORP is an addiction (substance use disorder) counselor in West Palm Beach, FL. SEPPALA CORP NPI is 1396104139. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Grassroots Treatment Center.

The provider's business location address is:

2200 N FLORIDA MANGO RD
SUITE 100
WEST PALM BEACH, FL
ZIP 33409-404
Phone: (561) 249-2631
Fax: (561) 444-6475

The provider's authorized official is Chi Micah Seppala .
The authorized official title is Mgmr and has the following contact phone number (561) 313-4562.

The enumeration date for this NPI number is 2/22/2016 and was last updated on 7/21/2022.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1101YA0400XCounselorAddiction (Substance Use Disorder)5001FLORIDAYes

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: 4/28/2024

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