<Unavail>
LBN: The Jerome Golden Center For Behavioral Health Inc
<Unavail> is an health care organization with primary practice located at 1041 45Th St , West Palm Beach FL 33407-2402. The organization recently has 4 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Institutional Pharmacy, Suppliers / Long Term Care Pharmacy, Suppliers / Specialty Pharmacy. Suppliers / Specialty Pharmacy is the primary health care specialty.
The Jerome Golden Center For Behavioral Health Inc can be contacted via phone (561) 383-5706, or through Le, Thanh via phone (561) 383-5765.
Contact Information
Primary practice address
1041 45Th St
West Palm Beach FL 33407-2402
Phone: (561) 383-5706
Fax: (561) 514-1965
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Pharmacy | 333600000X | ||
| Suppliers / Institutional Pharmacy | 3336I0012X | ||
| Suppliers / Long Term Care Pharmacy | 3336L0003X | ||
| Suppliers / Specialty Pharmacy | 3336S0011X | PH1868 | Florida |
Profile Details
| NPI number | 1760418545 |
|---|---|
| LBN Legal business name | The Jerome Golden Center For Behavioral Health Inc |
| DBA Doing business as | <Unavail> |
| Authorized official | Le, Thanh PHARMD |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jun 24th, 2006 |
| Last updated | Dec 8th, 2016 - about 10 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1760418545 | NPPES |
| Florida | MEDICAID | 105071100 | |
| Florida | Other | 2008115 |
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