| Entity Name: | FAMILY BEHAVIORAL CENTER, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Inactive |
| Date Filed: | 28 Aug 1995 (29 years ago) |
| Date of dissolution: | 23 Sep 2016 (8 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 23 Sep 2016 (8 years ago) |
| Document Number: | P95000066761 |
| FEI/EIN Number | 65-0619825 |
| Address: | 5850 W. ATLANTIC AVE, 101, DELRAY BEACH, FL 33484 |
| Mail Address: | 5850 W. ATLANTIC AVE, 101, DELRAY BEACH, FL 33484 |
| ZIP code: | 33484 |
| County: | Palm Beach |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1659452563 | 2006-10-18 | 2020-08-22 | 5850 W ATLANTIC AVE, SUITE 101, DELRAY BEACH, FL, 334848429, US | 5850 W ATLANTIC AVE, SUITE 101, DELRAY BEACH, FL, 334848429, US | |||||||||||||||||||||||||||||||||||||||
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| Phone | +1 561-637-2592 |
| Fax | 5616372595 |
Authorized person
| Name | MRS. ELLEN DELALLA |
| Role | ADMINISTRATOR |
| Phone | 5616372592 |
Taxonomy
| Taxonomy Code | 261QM0801X - Mental Health Clinic/Center (Including Community Mental Health Center) |
| License Number | RN1647982 |
| State | FL |
| Is Primary | No |
| Taxonomy Code | 261QR0405X - Substance Use Disorder Rehabilitation Clinic/Center |
| License Number | 0950AD982501 |
| State | FL |
| Is Primary | No |
Other Provider Identifiers
| Issuer | BLUE CROSS BLUE SHIELD |
| Number | A6P |
| State | FL |
| Issuer | CIGNA |
| Number | 2035303 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| DELALLA, ELLEN M | Agent | 1170 HILLSBORO MILE, HILLSBORO BEACH, FL 33062 |
| Name | Role | Address |
|---|---|---|
| DELALLA, ELLEN M | Director | 1170 HILLSBORO MILE SUITE 101, HILLSBORO BEACH, FL 33062 |
| Name | Role | Address |
|---|---|---|
| DELALLA, ELLEN M | President | 1170 HILLSBORO MILE SUITE 101, HILLSBORO BEACH, FL 33062 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2016-09-23 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2014-01-15 | DELALLA, ELLEN M | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2007-04-02 | 5850 W. ATLANTIC AVE, 101, DELRAY BEACH, FL 33484 | No data |
| CHANGE OF MAILING ADDRESS | 2007-04-02 | 5850 W. ATLANTIC AVE, 101, DELRAY BEACH, FL 33484 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2007-04-02 | 1170 HILLSBORO MILE, HILLSBORO BEACH, FL 33062 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2015-02-11 |
| ANNUAL REPORT | 2014-01-15 |
| ANNUAL REPORT | 2013-04-27 |
| ANNUAL REPORT | 2012-03-19 |
| ANNUAL REPORT | 2011-04-21 |
| ANNUAL REPORT | 2010-04-09 |
| ANNUAL REPORT | 2009-01-09 |
| ANNUAL REPORT | 2008-03-10 |
| ANNUAL REPORT | 2007-04-02 |
| ANNUAL REPORT | 2007-01-19 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
