# ORIGINS BEHAVIORAL HEALTHCARE OF FLORIDA, LLC

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

## Provider details

- **NPI number:** 1659014140
- **Authorized official:** JENNIFER A LEE (CHIEF OPERATING OFFICER)
- **Authorized official phone:** (561) 841-1003

## Contact information

- **Practice address:** 5200 EAST AVE, WEST PALM BEACH, FL 33407-2374
- **Practice address phone:** (561) 841-1142
- **Mailing address:** 933 45TH ST, MANGONIA PARK, FL 33407-2413
- **Mailing address phone:** (561) 841-1003

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 320800000X | Mental Illness Community Based Residential Treatment Facility | — | NULL | — |
| 323P00000X | Psychiatric Residential Treatment Facility | — | NULL | Yes |

## Other

- **Enumeration date:** 04/14/2022
- **Last updated:** 05/02/2024