Healthcare Provider Details

I. General information

NPI: 1659452563
Provider Name (Legal Business Name): FAMILY BEHAVIORAL CENTER, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/18/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5850 W ATLANTIC AVE SUITE 101
DELRAY BEACH FL
33484-8429
US

IV. Provider business mailing address

5850 W ATLANTIC AVE SUITE 101
DELRAY BEACH FL
33484-8429
US

V. Phone/Fax

Practice location:
  • Phone: 561-637-2592
  • Fax: 561-637-2595
Mailing address:
  • Phone: 561-637-2592
  • Fax: 561-637-2595

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License NumberRN1647982
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code261QR0405X
TaxonomySubstance Use Disorder Rehabilitation Clinic/Center
License Number0950AD982501
License Number StateFL

VIII. Authorized Official

Name: MRS. ELLEN DELALLA
Title or Position: ADMINISTRATOR
Credential: R.N., L.M.H.C.
Phone: 561-637-2592