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DIAMOND BEHAVIORAL HEALTH CENTER PBG, LLC

Company Details

Entity Name: DIAMOND BEHAVIORAL HEALTH CENTER PBG, LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Company
Status: Active
Date Filed: 03 Oct 2023 (a year ago)
Last Event: LC AMENDMENT
Event Date Filed: 25 Oct 2023 (a year ago)
Document Number: L23000455264
FEI/EIN Number 93-3716234
Address: 8841 LYNDALL LANE, PALM BEACH GARDENS, FL 33403
Mail Address: 8841 LYNDALL LANE, PALM BEACH GARDENS, FL 33403
ZIP code: 33403
County: Palm Beach
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1649044041 2023-11-07 2024-03-12 8841 LYNDALL LN, PALM BEACH GARDENS, FL, 334031639, US 8841 LYNDALL LN, PALM BEACH GARDENS, FL, 334031639, US

Contacts

Phone +1 772-812-9652
Fax 8335350164

Authorized person

Name JARED TURNER
Role BILLING MANAGER
Phone 7728129652

Taxonomy

Taxonomy Code 101YM0800X - Mental Health Counselor
Is Primary No
Taxonomy Code 323P00000X - Psychiatric Residential Treatment Facility
Is Primary Yes
Taxonomy Code 324500000X - Substance Abuse Rehabilitation Facility
Is Primary No

Agent

Name Role Address
CAPRIO, JAMES Agent 2300 WESTON ROAD, STE 202, WESTON, FL 33326

Manager

Name Role Address
CAPRIO, JAMES Manager 2300 WESTON ROAD, STE 202, WESTON, FL 33326
MULTZ, ADAM Manager 2300 WESTON ROAD, STE 202, WESTON, FL 33326
Muriel, Sergio Manager 18619 Ocean Mist Dr, Boca Raton, FL 33498

Events

Event Type Filed Date Value Description
LC AMENDMENT 2023-10-25 No data No data
CHANGE OF PRINCIPAL ADDRESS 2023-10-25 8841 LYNDALL LANE, PALM BEACH GARDENS, FL 33403 No data
CHANGE OF MAILING ADDRESS 2023-10-25 8841 LYNDALL LANE, PALM BEACH GARDENS, FL 33403 No data

Documents

Name Date
AMENDED ANNUAL REPORT 2024-02-22
ANNUAL REPORT 2024-02-20
LC Amendment 2023-10-25
Florida Limited Liability 2023-10-03

Date of last update: 08 Jan 2025

Sources: Florida Department of State