Organization

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

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

Provider Address