Healthcare Provider Details

I. General information

NPI: 1063476976
Provider Name (Legal Business Name): RUTH & NORMAN RALES JEWISH FAMILY SERVICES INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/17/2006
Last Update Date: 06/24/2023
Certification Date: 06/24/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

21300 COLEMAN BLVD
BOCA RATON FL
33428-1757
US

IV. Provider business mailing address

21300 COLEMAN BLVD
BOCA RATON FL
33428-1757
US

V. Phone/Fax

Practice location:
  • Phone: 561-852-3333
  • Fax: 561-852-3332
Mailing address:
  • Phone: 561-852-3333
  • Fax: 561-852-3332

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name: MS. DANIELLE HARTMAN
Title or Position: CHIEF EXECUTIVE OFFICER
Credential:
Phone: 561-852-3333