Healthcare Provider Details

I. General information

NPI: 1154451581
Provider Name (Legal Business Name): THE ARC OF PALM BEACH COUNTY, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/06/2007
Last Update Date: 04/26/2022
Certification Date: 04/26/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1201 AUSTRALIAN AVE
RIVIERA BEACH FL
33404-6635
US

IV. Provider business mailing address

1201 AUSTRALIAN AVE
RIVIERA BEACH FL
33404-6635
US

V. Phone/Fax

Practice location:
  • Phone: 561-842-3213
  • Fax: 561-863-4352
Mailing address:
  • Phone: 561-842-3213
  • Fax: 561-863-4352

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251V00000X
TaxonomyVoluntary or Charitable Agency
License Number
License Number State

VIII. Authorized Official

Name: RUSSELL J. GREENE
Title or Position: CHIEF FINANCIAL OFFICER
Credential:
Phone: 561-842-3213