The Source Behavioral Health, Llc

LBN: The Source Behavioral Health, Llc
The Source Behavioral Health, Llc is an health care organization with primary practice located at 150 Sw 12Th Ave Ste 491 , Pompano Beach FL 33069-3298. The organization recently has only one registered license in Ambulatory Health Care Facilities / Rehabilitation, Substance Use Disorder, which is considered as the primary health care specialty. The Source Behavioral Health, Llc can be contacted via phone (888) 207-3177, or through Crocco, Augustine via phone (267) 744-4265.

Contact Information

Primary practice address
150 Sw 12Th Ave Ste 491 Pompano Beach FL 33069-3298
Phone: (888) 207-3177
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Crocco, Augustine Licensed Clinical Social Worker (LCSW)
Phone: (267) 744-4265

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Rehabilitation, Substance Use Disorder 261QR0405X

Profile Details

NPI number 1841816204
LBN Legal business name The Source Behavioral Health, Llc
DBA Doing business as
Authorized official Crocco, Augustine Licensed Clinical Social Worker (LCSW)
Entity Organization
Organization subpart 1 No
Enumeration date Jun 22nd, 2020
Last updated Sep 25th, 2023 - about last year

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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