Organization
FAMILY & ADOLESCENT BEHAVIORAL WELLNESS SOLUTIONS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MATTHEW C RYAN (CHAIRMAN)
(414) 788-0014
Entity
Organization
Contact information
Practice address
4365 NORTHLAKE BLVD, PALM BEACH GARDENS, FL 33410-6253
(414) 788-0014
Mailing address
PO BOX 31419, PALM BEACH GARDENS, FL 33420-1419
(414) 788-0014
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
—
—
Other
Enumeration date
11/17/2023
Last updated
11/17/2023
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