Provider Demographics
NPI:1841528056
Name:NEW OPTIONS OF ROYAL PALM BEACH
Entity type:Organization
Organization Name:NEW OPTIONS OF ROYAL PALM BEACH
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CASSANDRA
Authorized Official - Middle Name:
Authorized Official - Last Name:SIERRA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:516-790-3200
Mailing Address - Street 1:5551 N WINSTON PARK BLVD
Mailing Address - Street 2:#108
Mailing Address - City:COCONUT CREEK
Mailing Address - State:FL
Mailing Address - Zip Code:33073-5042
Mailing Address - Country:US
Mailing Address - Phone:954-420-9095
Mailing Address - Fax:954-420-9095
Practice Address - Street 1:12794 W FOREST HILL BLVD
Practice Address - Street 2:SUITE 18K
Practice Address - City:WELLINGTON
Practice Address - State:FL
Practice Address - Zip Code:33414-4710
Practice Address - Country:US
Practice Address - Phone:516-790-3200
Practice Address - Fax:561-790-4545
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-11-28
Last Update Date:2009-11-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL111223101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Multi-Specialty