Shiloh Center, Inc | |
2699 Stirling Rd Ste A106 Fort Lauderdale FL 33312-6543 | |
(954) 674-2306 | |
(954) 674-2307 |
Full Name | Shiloh Center, Inc |
---|---|
Speciality | Marriage & Family Therapist |
Location | 2699 Stirling Rd Ste A106, Fort Lauderdale, Florida |
Authorized Official Name and Position | Harold Anthony Vieux (CEO) |
Authorized Official Contact | 9546742306 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Shiloh Center, Inc 2699 Stirling Rd Ste A106 Fort Lauderdale FL 33312-6543 Ph: (954) 674-2306 | Shiloh Center, Inc 2699 Stirling Rd Ste A106 Fort Lauderdale FL 33312-6543 Ph: (954) 674-2306 |
NPI Number | 1417212804 |
---|---|
Provider Enumeration Date | 07/11/2012 |
Last Update Date | 07/11/2012 |
Identifier | Type | State | Issuer |
---|---|---|---|
1417212804 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
106H00000X | Marriage & Family Therapist | LCMFT0350020512 (Florida) | Primary |
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