Provider Demographics
NPI:1225416233
Name:PALM BEACH COUNTY DEPARTMENT OF COMMUNITY SERVICES
Entity Type:Organization
Organization Name:PALM BEACH COUNTY DEPARTMENT OF COMMUNITY SERVICES
Other - Org Name:PALM BEACH COUNTY BOARD OF COUNTY COMMISSIONERS
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:CHANNELL
Authorized Official - Middle Name:
Authorized Official - Last Name:WILKINS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:561-355-4702
Mailing Address - Street 1:810 DATURA ST
Mailing Address - Street 2:
Mailing Address - City:WEST PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33401-5204
Mailing Address - Country:US
Mailing Address - Phone:561-355-4730
Mailing Address - Fax:
Practice Address - Street 1:810 DATURA ST
Practice Address - Street 2:
Practice Address - City:WEST PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33401-5204
Practice Address - Country:US
Practice Address - Phone:561-355-4730
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-05-11
Last Update Date:2015-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QC1500XAmbulatory Health Care FacilitiesClinic/CenterCommunity Health