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Crockett Foundation Inc
Community/Behavioral Health Agency in Fort Lauderdale, Florida
NPI 1184295123

Crockett Foundation Inc is a Community/Behavioral Health Agency based in Fort Lauderdale, FL. Crockett Foundation Inc practices in Fort Lauderdale, FL. The NPI Number for Crockett Foundation Inc is 1184295123 and holds a License No. (Florida).

The current practice location address for Crockett Foundation Inc is 401 Sw 1St Ave Ste 102, Fort Lauderdale, FL and can be reached out via phone at 754-666-3928. You can also correspond with Crockett Foundation Inc through the mailing address at 401 SW 1ST AVE STE 102, FORT LAUDERDALE, FL - 33301-2853 (mailing address contact number: 754-666-3928).

Location: 401 Sw 1St Ave Ste 102, Fort Lauderdale, FL, 33301-2853
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1184295123
Provider Name
Crockett Foundation Inc
Credential
Provider Entity Type
Organization
Address
401 Sw 1St Ave Ste 102, Fort Lauderdale, FL, 33301-2853
Phone Number
754-666-3928
Fax Number
Provider Enumeration Date
07/09/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
401 Sw 1St Ave Ste 102
City
Fort Lauderdale
State
Florida
Zip
33301-2853
Phone Number
754-666-3928
Fax Number
person
Provider Business Mailing Address Details
Address
401 Sw 1St Ave Ste 102
City
Fort Lauderdale
State
Florida
Zip
33301-2853
Phone Number
754-666-3928
Fax Number
person
Provider's Taxonomy Details 1
Type
Agencies
Classification
Community/Behavioral Health
Speciality
-
Taxonomy
251S00000X
License No.
()
Definition
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 support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
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