Kids In Distress Inc | |
819 Ne 26th St Wilton Manors FL 33305-1239 | |
(954) 390-7654 | |
(954) 567-5636 |
Full Name | Kids In Distress Inc |
---|---|
Speciality | Community/behavioral Health |
Location | 819 Ne 26th St, Wilton Manors, Florida |
Authorized Official Name and Position | Mark Dhooge (PRESIDENT CEO) |
Authorized Official Contact | 9543907654 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Kids In Distress Inc 819 Ne 26th St Wilton Manors FL 33305-1239 Ph: (954) 390-7654 | Kids In Distress Inc 819 Ne 26th St Wilton Manors FL 33305-1239 Ph: (954) 390-7654 |
NPI Number | 1033204946 |
---|---|
Provider Enumeration Date | 10/04/2006 |
Last Update Date | 09/12/2012 |
Identifier | Type | State | Issuer |
---|---|---|---|
1033204946 | NPI | - | NPPES |
029966900 | Medicaid | FL |
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