Center For Identity Development South Ltd Inc

LBN: Center For Identity Development South Ltd Inc
Center For Identity Development South Ltd Inc is an health care organization with primary practice located at 4855 W Hillsboro Blvd Suite B1, Coconut Creek FL 33073-4356. The organization recently has only one registered license in Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center), which is considered as the primary health care specialty. Center For Identity Development South Ltd Inc can be contacted via phone (954) 345-5525, or through Lanese, Michele Linda via phone (954) 345-5525.

Contact Information

Primary practice address
4855 W Hillsboro Blvd Suite B1 Coconut Creek FL 33073-4356
Phone: (954) 345-5525
Fax: (954) 977-4978
Website:
Map and Directions
Authorized official contact:
Name: Lanese, Michele Linda Licensed Clinical Social Worker (LCSW)
Phone: (954) 345-5525

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) 261QM0801X

Profile Details

NPI number 1295894301
LBN Legal business name Center For Identity Development South Ltd Inc
DBA Doing business as
Authorized official Lanese, Michele Linda Licensed Clinical Social Worker (LCSW)
Entity Organization
Organization subpart 1 No
Enumeration date Dec 6th, 2006
Last updated Jul 29th, 2014 - about 11 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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