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Jacob Pistor
Substance Use Disorder Rehabilitation Clinic/Center in Boynton Beach, Florida
NPI 1932553880

Jacob Pistor is a Substance Use Disorder Rehabilitation Clinic/Center based in Boynton Beach, FL and is specialized in Rehabilitation, Substance Use Disorder. Jacob Pistor practices in Boynton Beach, FL. The NPI Number for Jacob Pistor is 1932553880 and holds a License No. (Florida).

The current practice location address for Jacob Pistor is 4895 Windward Passage Dr Ste 6, Boynton Beach, FL and can be reached out via phone at 561-877-8753.

Location: 4895 Windward Passage Dr Ste 6, Boynton Beach, FL, 33436-7741
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1932553880
Provider Name
Jacob Pistor
Credential
Provider Entity Type
Organization
Address
4895 Windward Passage Dr Ste 6, Boynton Beach, FL, 33436-7741
Phone Number
561-877-8753
Fax Number
Provider Enumeration Date
04/18/2016
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
4895 Windward Passage Dr Ste 6
City
Boynton Beach
State
Florida
Zip
33436-7741
Phone Number
561-877-8753
Fax Number
person
Provider Business Mailing Address Details
Address
4895 Windward Passage Dr Ste 6
City
Boynton Beach
State
Florida
Zip
33436-7741
Phone Number
561-877-8753
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Rehabilitation, Substance Use Disorder
Taxonomy
261QR0405X
License No.
(Florida)
Definition
Definition to come...
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