Organization · Type 2 NPI

Jupiter Taj Investment Group, LLC

Substance Use Disorder Rehabilitation Clinic/Center · Palm Beach Gardens, FL

NPI number 1083109458 Active

Practice location

3335 Burns Rd
Palm Beach Gardens, FL 33410-4311

Call (561) 529-8059 Map

Mailing address

731 N US Highway 1
Tequesta, FL 33469-2218

Specialties and licenses

Taxonomy	Code	License
Substance Use Disorder Rehabilitation Clinic/Center Primary	261QR0405X	None listed

Substance Use Disorder Rehabilitation Clinic/Center: Definition to come...

2 other providers at this address

Gardens Efl Imaging Center LLCDiagnostic Radiology Physician Palm Beach Gardens, FL NPI 1639129349
Ibrar AhmadChiropractor Palm Beach Gardens, FL NPI 1538820725

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NPI record

NPI: 1083109458
Entity type: Organization (Type 2)
Issued: Jun 27, 2018
Last updated: Jun 27, 2018
Status: Active

Other names

<unavail>
Wave Medical Assisted Therapy & Counseling · doing business as
Jupiter Taj Investment Group, LLC · former legal business name

Authorized official

Nicholas Bradley Berkos, COO
Chief Operating Officer
(561) 281-2105

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1083109458

Jupiter Taj Investment Group, LLC's National Provider Identifier is 1083109458, issued on Jun 27, 2018. The primary taxonomy on file is Substance Use Disorder Rehabilitation Clinic/Center (261QR0405X), and the practice location is in Palm Beach Gardens, FL. The record was last updated on Jun 27, 2018.