Provider Demographics
NPI:1659452563
Name:FAMILY BEHAVIORAL CENTER, INC.
Entity type:Organization
Organization Name:FAMILY BEHAVIORAL CENTER, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:ELLEN
Authorized Official - Middle Name:
Authorized Official - Last Name:DELALLA
Authorized Official - Suffix:
Authorized Official - Credentials:RN, LMHC
Authorized Official - Phone:561-637-2592
Mailing Address - Street 1:5850 W ATLANTIC AVE
Mailing Address - Street 2:SUITE 101
Mailing Address - City:DELRAY BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33484-8429
Mailing Address - Country:US
Mailing Address - Phone:561-637-2592
Mailing Address - Fax:561-637-2595
Practice Address - Street 1:5850 W ATLANTIC AVE
Practice Address - Street 2:SUITE 101
Practice Address - City:DELRAY BEACH
Practice Address - State:FL
Practice Address - Zip Code:33484-8429
Practice Address - Country:US
Practice Address - Phone:561-637-2592
Practice Address - Fax:561-637-2595
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-18
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLRN1647982261QM0801X
FL0950AD982501261QR0405X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)
Not Answered261QR0405XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation, Substance Use Disorder
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLA6POtherBLUE CROSS BLUE SHIELD
FL2035303OtherCIGNA
FL2035303OtherCIGNA