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Organization
SOUTH COUNTY MENTAL HEALTH CENTER, INC.
Active
Organization
SOUTH COUNTY MENTAL HEALTH CENTER, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOSEPH S SPEICHER LMHC, DPA (CHIEF EXECUTIVE OFFICER)
(561) 637-1000
Entity
Organization
Contact information
Practice address
16158 MILITARY TRL, DELRAY BEACH, FL 33484
(561) 637-1000
(561) 637-1410
Mailing address
16158 MILITARY TRL, DELRAY BEACH, FL 33484-6502
(561) 637-1000
(561) 637-1410
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
060276101
FL
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
060276100
FL
261QM0850X
Adult Mental Health Clinic/Center
060276100
FL
261QM0855X
Adolescent and Children Mental Health Clinic/Center
060276100
FL
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
0950AD962202
FL
3104A0625X
Assisted Living Facility (Mental Illness)
AL10301
FL
320800000X
Mental Illness Community Based Residential Treatment Facility
0950AD962202
FL
323P00000X
Psychiatric Residential Treatment Facility
0950AD962202
FL
3336C0003X
Community/Retail Pharmacy
PH6793
FL
343900000X
Non-emergency Medical Transport (VAN)
650409644
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
060276100
—
FL
05
—
060276101
—
FL
Enumeration date
05/04/2006
Last updated
06/10/2020
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