Provider Demographics
NPI:1013387588
Name:HARMONY OUTPATIENT CENTER, LLC
Entity Type:Organization
Organization Name:HARMONY OUTPATIENT CENTER, LLC
Other - Org Name:HARMONY HEALING CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:MATTHEW
Authorized Official - Middle Name:
Authorized Official - Last Name:BYRNE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:561-859-0061
Mailing Address - Street 1:1300 NW 17TH AVE STE 160
Mailing Address - Street 2:
Mailing Address - City:DELRAY BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33445-2554
Mailing Address - Country:US
Mailing Address - Phone:561-859-0050
Mailing Address - Fax:561-859-0045
Practice Address - Street 1:1300 NW 17TH AVE STE 160
Practice Address - Street 2:
Practice Address - City:DELRAY BEACH
Practice Address - State:FL
Practice Address - Zip Code:33445-2554
Practice Address - Country:US
Practice Address - Phone:561-859-0050
Practice Address - Fax:561-859-0045
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-09-28
Last Update Date:2020-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0405XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation, Substance Use Disorder