Individual provider · Type 1 NPI
Matthew Gutstadt
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Fort Lauderdale, FL
Practice location
750 NE 24th Way
Fort Lauderdale, FL 33304-3569
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Primary | 320900000X | 000787000 (FL) |
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility: A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities.
Other intellectual and/or developmental disabilities community based residential treatment facility providers in Fort Lauderdale
About NPI 1013660240
Matthew Gutstadt's National Provider Identifier is 1013660240, issued on Jan 28, 2022. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (320900000X), and the practice location is in Fort Lauderdale, FL. The record was last updated on Jan 29, 2022.