Provider Demographics
NPI:1144919408
Name:PALM BEACH BEHAVIORAL CENTER
Entity type:Organization
Organization Name:PALM BEACH BEHAVIORAL CENTER
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:MARLENYS
Authorized Official - Middle Name:
Authorized Official - Last Name:PEREZ CAMARGO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:561-508-6150
Mailing Address - Street 1:6295 LAKE WORTH RD STE 40
Mailing Address - Street 2:
Mailing Address - City:GREENACRES
Mailing Address - State:FL
Mailing Address - Zip Code:33463-3034
Mailing Address - Country:US
Mailing Address - Phone:561-508-6150
Mailing Address - Fax:
Practice Address - Street 1:6295 LAKE WORTH RD STE 40
Practice Address - Street 2:
Practice Address - City:GREENACRES
Practice Address - State:FL
Practice Address - Zip Code:33463-3034
Practice Address - Country:US
Practice Address - Phone:561-508-6150
Practice Address - Fax:561-431-2208
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-05-03
Last Update Date:2025-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty