Organization · Type 2 NPI

Broward County

Community/Behavioral Health Agency · Fort Lauderdale, FL

NPI number 1114690690 Active

Practice location

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

Specialties and licenses

Taxonomy	Code	License
Community/Behavioral Health Agency Primary	251S00000X	None listed
Substance Abuse Rehabilitation Facility	324500000X	None 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…

5 other providers at this address

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NPI record

NPI: 1114690690
Entity type: Organization (Type 2)
Issued: Jul 29, 2021
Last updated: Feb 21, 2024
Status: Active
Subpart: Yes of Broward County Board of County Commissioners

Other names

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Broward Addiction Recovery Center · doing business as

Authorized official

Mr. Gerard John
Director
(954) 357-4830

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1114690690

Broward County's National Provider Identifier is 1114690690, issued on Jul 29, 2021. The primary taxonomy on file is Community/Behavioral Health Agency (251S00000X), and the practice location is in Fort Lauderdale, FL. The record was last updated on Feb 21, 2024.