Organization · Type 2 NPI

Corebridge 17 Foundation, Inc.

Community/Behavioral Health Agency · North Lauderdale, FL

NPI number 1184506008 Active

Practice location

6047 Kimberly Blvd Ste N
North Lauderdale, FL 33068-2820

Specialties and licenses

Taxonomy	Code	License
Case Management Agency	251B00000X	None listed
Community/Behavioral Health Agency Primary	251S00000X	None listed
Voluntary or Charitable Agency	251V00000X	None listed
Substance Use Disorder Rehabilitation Clinic/Center	261QR0405X	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…

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About NPI 1184506008

Corebridge 17 Foundation, Inc.'s National Provider Identifier is 1184506008, issued on Jul 22, 2025. The primary taxonomy on file is Community/Behavioral Health Agency (251S00000X), and the practice location is in North Lauderdale, FL. The record was last updated on Oct 3, 2025.