Provider Demographics
NPI:1205175130
Name:MENTAL HEALTH ASSOCIATION OF PALM BEACH COUNTY, INC.
Entity type:Organization
Organization Name:MENTAL HEALTH ASSOCIATION OF PALM BEACH COUNTY, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF EXECUTIVE OFFICER
Authorized Official - Prefix:MS
Authorized Official - First Name:PAMELA
Authorized Official - Middle Name:
Authorized Official - Last Name:GIONFRIDDO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:561-832-3755
Mailing Address - Street 1:909 FERN ST
Mailing Address - Street 2:
Mailing Address - City:WEST PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33401-5717
Mailing Address - Country:US
Mailing Address - Phone:561-832-3755
Mailing Address - Fax:561-832-3900
Practice Address - Street 1:909 FERN ST
Practice Address - Street 2:
Practice Address - City:WEST PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33401-5717
Practice Address - Country:US
Practice Address - Phone:561-832-3755
Practice Address - Fax:561-832-3900
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-02-13
Last Update Date:2013-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251V00000XAgenciesVoluntary or Charitable