Provider Demographics
NPI:1629565650
Name:PALM PARTNERS, LLC
Entity Type:Organization
Organization Name:PALM PARTNERS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:UR DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:BENITA
Authorized Official - Middle Name:V
Authorized Official - Last Name:JOHNSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:561-921-6142
Mailing Address - Street 1:1177 GEORGE BUSH BLVD STE 400
Mailing Address - Street 2:
Mailing Address - City:DELRAY BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33483-7239
Mailing Address - Country:US
Mailing Address - Phone:561-921-6142
Mailing Address - Fax:561-921-6095
Practice Address - Street 1:707 LINTON BLVD.
Practice Address - Street 2:BUILDING D
Practice Address - City:DELRAY BEACH
Practice Address - State:FL
Practice Address - Zip Code:33444
Practice Address - Country:US
Practice Address - Phone:561-921-6142
Practice Address - Fax:954-921-6095
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-04-16
Last Update Date:2018-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes324500000XResidential Treatment FacilitiesSubstance Abuse Rehabilitation Facility