Provider Demographics
NPI:1992044093
Name:PALM BEACH COUNTY SUBSTANCE ABUSE COALITION
Entity Type:Organization
Organization Name:PALM BEACH COUNTY SUBSTANCE ABUSE COALITION
Other - Org Name:PALM BEACH COUNTY SUBSTANCE AWARENESS COALITION
Other - Org Type:Doing Business As
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:JEFF
Authorized Official - Middle Name:
Authorized Official - Last Name:KADEL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:561-844-5952
Mailing Address - Street 1:2300 HIGH RIDGE RD
Mailing Address - Street 2:SUITE 365
Mailing Address - City:BOYNTON BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33426-8747
Mailing Address - Country:US
Mailing Address - Phone:561-844-5952
Mailing Address - Fax:
Practice Address - Street 1:2300 HIGH RIDGE RD
Practice Address - Street 2:SUITE 365
Practice Address - City:BOYNTON BEACH
Practice Address - State:FL
Practice Address - Zip Code:33426-8747
Practice Address - Country:US
Practice Address - Phone:561-844-5952
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-02-08
Last Update Date:2013-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL1550AD152001251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health