Provider Demographics
NPI:1154451581
Name:THE ARC OF PALM BEACH COUNTY, INC.
Entity type:Organization
Organization Name:THE ARC OF PALM BEACH COUNTY, INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CHIEF FINANCIAL OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:RUSSELL
Authorized Official - Middle Name:J
Authorized Official - Last Name:GREENE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:561-842-3213
Mailing Address - Street 1:1201 AUSTRALIAN AVE
Mailing Address - Street 2:
Mailing Address - City:RIVIERA BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33404-6635
Mailing Address - Country:US
Mailing Address - Phone:561-842-3213
Mailing Address - Fax:561-863-4352
Practice Address - Street 1:1201 AUSTRALIAN AVE
Practice Address - Street 2:
Practice Address - City:RIVIERA BEACH
Practice Address - State:FL
Practice Address - Zip Code:33404-6635
Practice Address - Country:US
Practice Address - Phone:561-842-3213
Practice Address - Fax:561-863-4352
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-06
Last Update Date:2022-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
No251V00000XAgenciesVoluntary or Charitable