South County Mental Health Center, Inc.
Legal Business Name
South County Mental Health Center, Inc.
NPI Number
1033167721
NPI Type
Organization
Enumeration Date
05/04/2006
Specialties
(Taxonomies)Name
Code
261QM0855X
261QM0850X
3104A0625X
251B00000X
3336C0003X
320800000X
343900000X
323P00000X
261QR0405X
Primary Taxonomy
No
No
No
No
No
No
No
No
No
Licenses
State
Florida
Florida
Florida
Florida
Florida
Florida
License Number
060276100
AL10301
060276101
PH6793
0950AD962202
650409644
Contact
Information
Purpose
Mailing
Location
Address
16158 MILITARY TRL
16158 MILITARY TRL
City
Delray Beach
Delray Beach
State
FL
FL
Postal Code
33484-6502
33484
Country
US
US
Telephone Number
(561) 637-1000
(561) 637-1000
Authorized Official
Name
Mr. Joseph Speicher
Title or Position
CHIEF EXECUTIVE OFFICER
Telephone Number
(561) 637-1000
Identifiers
Identifier
060276100
060276101
Identifier State
FL
FL
Identifier Issuer
Unknown
Unknown
Provider data last refreshed from NPPES NPI registry on 11/19/2024
Data last updated by provider on 06/10/2020