Basic Information
| Provider Information | |||||||||
| NPI: | 1255538641 | ||||||||
| EntityType: | 2 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | CENTER FOR FAMILY SERVICES OF PALM BEACH COUNTY INC | ||||||||
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| Mailing Information | |||||||||
| Address1: | 4101 PARKER AVE | ||||||||
| Address2: | |||||||||
| City: | WEST PALM BEACH | ||||||||
| State: | FL | ||||||||
| PostalCode: | 334052507 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5616161222 | ||||||||
| FaxNumber: | 5616161230 | ||||||||
| Practice Location | |||||||||
| Address1: | 4101 PARKER AVE | ||||||||
| Address2: | |||||||||
| City: | WEST PALM BEACH | ||||||||
| State: | FL | ||||||||
| PostalCode: | 334052507 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5616161222 | ||||||||
| FaxNumber: | 5616161230 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 06/28/2007 | ||||||||
| LastUpdateDate: | 09/24/2019 | ||||||||
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| AuthorizedOfficialLastName: | HILO | ||||||||
| AuthorizedOfficialFirstName: | KAREN | ||||||||
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| AuthorizedOfficialTitleorPosition: | CEO | ||||||||
| AuthorizedOfficialTelephone: | 5616161222 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 251S00000X | 0950AD417901 | FL | Y | Agencies | Community/Behavioral Health |
No ID Information.