Organization
PALM BEACH BEHAVIORAL HEALTH AND WELLNESS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRANDI RIALS PSYD (OWNER)
(312) 758-0424
Entity
Organization
Contact information
Practice address
221 GREENWICH CIR, SUITE 111, JUPITER, FL 33458-2890
(312) 758-0424
Mailing address
221 GREENWICH CIR, SUITE 111, JUPITER, FL 33458-2890
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PY8421
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1235419854
NPI
—
01
—
1700116829
NPI
—
Enumeration date
11/21/2011
Last updated
11/21/2011
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