Provider Demographics
NPI:1215357405
Name:MB HRIM COMPANY, LLC
Entity Type:Organization
Organization Name:MB HRIM COMPANY, LLC
Other - Org Name:MARYBETH HRIM, LCSW
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MANAGING MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:MARYBETH
Authorized Official - Middle Name:
Authorized Official - Last Name:HRIM
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:561-373-1509
Mailing Address - Street 1:900 E INDIANTOWN RD
Mailing Address - Street 2:SUITE 311
Mailing Address - City:JUPITER
Mailing Address - State:FL
Mailing Address - Zip Code:33477-5165
Mailing Address - Country:US
Mailing Address - Phone:561-373-1509
Mailing Address - Fax:561-288-1125
Practice Address - Street 1:900 E INDIANTOWN RD
Practice Address - Street 2:SUITE 311
Practice Address - City:JUPITER
Practice Address - State:FL
Practice Address - Zip Code:33477-5165
Practice Address - Country:US
Practice Address - Phone:561-373-1509
Practice Address - Fax:561-288-1125
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-04-26
Last Update Date:2014-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty