Organization · Type 2 NPI

Broward County

Community/Behavioral Health Agency · West Park, FL

NPI number 1053082735 Active

Practice location

4733 SW 18th St
West Park, FL 33023-3307

Mailing address

900 NW 31st Ave Ste 2000
Fort Lauderdale, FL 33311-6653

Specialties and licenses

TaxonomyCodeLicense
Community/Behavioral Health Agency Primary 251S00000XNone listed

Community/Behavioral Health Agency: A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day suppo…

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About NPI 1053082735

Broward County's National Provider Identifier is 1053082735, issued on Sep 23, 2021. The primary taxonomy on file is Community/Behavioral Health Agency (251S00000X), and the practice location is in West Park, FL. The record was last updated on Feb 21, 2024.