Provider Demographics
NPI:1699171488
Name:HANLEY CENTER FOUNDATION, INC.
Entity type:Organization
Organization Name:HANLEY CENTER FOUNDATION, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:RACHEL
Authorized Official - Middle Name:
Authorized Official - Last Name:DOCEKAL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:561-309-5325
Mailing Address - Street 1:900 54TH ST
Mailing Address - Street 2:
Mailing Address - City:WEST PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33407-2436
Mailing Address - Country:US
Mailing Address - Phone:561-841-1122
Mailing Address - Fax:561-841-1290
Practice Address - Street 1:900 54TH ST
Practice Address - Street 2:
Practice Address - City:WEST PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33407-2436
Practice Address - Country:US
Practice Address - Phone:561-841-1122
Practice Address - Fax:561-841-1290
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-11-06
Last Update Date:2014-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health