Provider Demographics
NPI:1134512783
Name:CHILDREN'S CASE MANAGEMENT ORGANIZATION, INC.
Entity Type:Organization
Organization Name:CHILDREN'S CASE MANAGEMENT ORGANIZATION, INC.
Other - Org Name:FAMILIES FIRST OF PALM BEACH COUNTY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CHIEF EXECUTIVE OFFICER
Authorized Official - Prefix:MS
Authorized Official - First Name:JULIE
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:SWINDLER
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:561-318-4221
Mailing Address - Street 1:3333 FOREST HILL BLVD
Mailing Address - Street 2:SECOND FLOOR
Mailing Address - City:WEST PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33406-5812
Mailing Address - Country:US
Mailing Address - Phone:561-721-2887
Mailing Address - Fax:561-881-3827
Practice Address - Street 1:3333 FOREST HILL BLVD
Practice Address - Street 2:SECOND FLOOR
Practice Address - City:WEST PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33406-5812
Practice Address - Country:US
Practice Address - Phone:561-721-2887
Practice Address - Fax:561-881-3827
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-03-06
Last Update Date:2015-06-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSW6191251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL1326235144Medicaid
FL1801289103Medicaid
FL1992136758Medicaid
FL1225390388Medicaid
FL1669865978Medicaid