| Children's Home Scociety | |
|
401 Ne 4th St Fort Lauderdale FL 33301-1151 | |
| (954) 453-6400 | |
| Not Available |
| Full Name | Children's Home Scociety |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 401 Ne 4th St, Fort Lauderdale, Florida |
| Authorized Official Name and Position | Nanoucheka Chevelon (COUNSELOR) |
| Authorized Official Contact | 5613055976 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Children's Home Scociety 22319 Sw 65th Ave Boca Raton FL 33428-6010 Ph: () - | Children's Home Scociety 401 Ne 4th St Fort Lauderdale FL 33301-1151 Ph: (954) 453-6400 |
| NPI Number | 1629340435 |
|---|---|
| Provider Enumeration Date | 02/08/2012 |
| Last Update Date | 02/08/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629340435 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | ISW5501 (Florida) | Primary |
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