# BEACHWAY THERAPY CENTER LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1013660919
- **Authorized official:** PAMELA EGAN (COO)
- **Authorized official phone:** (561) 212-1963

## Contact information

- **Practice address:** 313 N LAKESIDE CT, WEST PALM BEACH, FL 33407-6538
- **Practice address phone:** (877) 284-0353
- **Mailing address:** 1700 N DIXIE HWY, WEST PALM BEACH, FL 33407-6504

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 323P00000X | Psychiatric Residential Treatment Facility | — | NULL | Yes |

## Other

- **Enumeration date:** 01/31/2022
- **Last updated:** 01/31/2022