Provider Demographics
NPI:1588065965
Name:ACHIEVE BEHAVIORAL HEALTHCARE LLC
Entity type:Organization
Organization Name:ACHIEVE BEHAVIORAL HEALTHCARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:C.E.O.
Authorized Official - Prefix:MR
Authorized Official - First Name:HENRY
Authorized Official - Middle Name:D
Authorized Official - Last Name:JAMISON
Authorized Official - Suffix:IV
Authorized Official - Credentials:
Authorized Official - Phone:561-749-9550
Mailing Address - Street 1:1200 NW 17TH AVENUE
Mailing Address - Street 2:SUITE 18
Mailing Address - City:DELRAY BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33445
Mailing Address - Country:US
Mailing Address - Phone:561-749-9550
Mailing Address - Fax:561-501-5129
Practice Address - Street 1:1200 NW 17TH AVENUE
Practice Address - Street 2:SUITE 6
Practice Address - City:DELRAY BEACH
Practice Address - State:FL
Practice Address - Zip Code:33445
Practice Address - Country:US
Practice Address - Phone:561-749-9550
Practice Address - Fax:561-501-5129
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-09-04
Last Update Date:2014-12-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0405XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation, Substance Use Disorder