Enrichment Support Services, Llc | |
701 Promenade Dr Suite 204 Pembroke Pines FL 33026-6034 | |
(954) 364-8842 | |
Not Available |
Full Name | Enrichment Support Services, Llc |
---|---|
Speciality | Community/behavioral Health |
Location | 701 Promenade Dr, Pembroke Pines, Florida |
Authorized Official Name and Position | Anse Daniel (SOLE PROPRIETOR) |
Authorized Official Contact | 9542577394 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Enrichment Support Services, Llc 3300 Onyx Rd Miramar FL 33025-2821 Ph: (954) 257-7394 | Enrichment Support Services, Llc 701 Promenade Dr Suite 204 Pembroke Pines FL 33026-6034 Ph: (954) 364-8842 |
NPI Number | 1285053553 |
---|---|
Provider Enumeration Date | 04/15/2014 |
Last Update Date | 04/15/2014 |
Identifier | Type | State | Issuer |
---|---|---|---|
1285053553 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | L14000040502 (Florida) | Primary |
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