Active NPI
MCW Mental Health LLC
- Substance Use Disorder Rehabilitation Clinic/Center
- West Palm Beach, FL
National Provider Identifier
1962058057
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Substance Use Disorder Rehabilitation Clinic/Center
- Legal business name
- MCW MENTAL HEALTH LLC
- Practice address
- 4461 Medical Center Way
West Palm Beach, FL 33407-3280 - Phone
- (561) 453-0743
- NPI assigned
- Aug 14, 2019
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Francis Zofray
- Title
- Exec
- Phone
- (561) 453-0743
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Substance Use Disorder Rehabilitation Clinic/Center | 261QR0405X | Primary |
Addresses
Primary practice location
4461 Medical Center Way
West Palm Beach, FL 33407-3280
Mailing address
1701 Green Rd Ste C
Pompano Beach, FL 33064-1074
Phone (561) 453-0743
Other names 1
- Thrive Recovery Centers
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1565740800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1565740800000",
"number": "1962058057",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1701 GREEN RD STE C",
"city": "POMPANO BEACH",
"state": "FL",
"postal_code": "330641074",
"telephone_number": "561-453-0743",
"fax_number": "561-453-0743"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4461 MEDICAL CENTER WAY",
"city": "WEST PALM BEACH",
"state": "FL",
"postal_code": "334073280",
"telephone_number": "561-453-0743"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MCW MENTAL HEALTH LLC",
"organizational_subpart": "NO",
"enumeration_date": "2019-08-14",
"last_updated": "2019-08-14",
"status": "A",
"authorized_official_last_name": "ZOFRAY",
"authorized_official_first_name": "FRANCIS",
"authorized_official_title_or_position": "EXEC",
"authorized_official_telephone_number": "561-453-0743"
},
"taxonomies": [
{
"code": "261QR0405X",
"taxonomy_group": "",
"desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Thrive Recovery Centers",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in West Palm Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.