institution
Center For Identity Development South Ltd Inc
Mental Health Clinic/Center (Including Community Mental Health Center) in Coconut Creek, Florida
NPI 1295894301

Center For Identity Development South Ltd Inc is a Mental Health Clinic/Center (Including Community Mental Health Center) based in Coconut Creek, FL and is specialized in Mental Health (Including Community Mental Health Center). Center For Identity Development South Ltd Inc practices in Coconut Creek, FL. The NPI Number for Center For Identity Development South Ltd Inc is 1295894301 and holds a License No. (Florida).

The current practice location address for Center For Identity Development South Ltd Inc is 4855 W Hillsboro Blvd, Coconut Creek, FL and can be reached out via phone at 954-345-5525 and via fax at 954-977-4978.

Location: 4855 W Hillsboro Blvd, Coconut Creek, FL, 33073-4356
institution
Provider Profile Details
NPI Number
1295894301
Provider Name
Center For Identity Development South Ltd Inc
Credential
Provider Entity Type
Organization
Address
4855 W Hillsboro Blvd, Coconut Creek, FL, 33073-4356
Phone Number
954-345-5525
Fax Number
954-977-4978
Provider Enumeration Date
12/06/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
4855 W Hillsboro Blvd
City
State
Zip
33073-4356
Phone Number
954-345-5525
Fax Number
954-977-4978
person
Provider Business Mailing Address Details
Address
4855 W Hillsboro Blvd
City
State
Zip
33073-4356
Phone Number
954-345-5525
Fax Number
954-977-4978
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Mental Health (Including Community Mental Health Center)
Taxonomy
License No.
()
Definition
Definition to come...
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