| Custody Evaluation Services, Inc. | |
|
736 Hollywood Blvd Hollywood FL 33019-1602 | |
| (954) 608-7716 | |
| Not Available |
| Full Name | Custody Evaluation Services, Inc. |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 736 Hollywood Blvd, Hollywood, Florida |
| Authorized Official Name and Position | Yvette Tucholski-dekeles (PRESIDENT) |
| Authorized Official Contact | 9546087716 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Custody Evaluation Services, Inc. Po Box 222025 Hollywood FL 33022-2025 Ph: () - | Custody Evaluation Services, Inc. 736 Hollywood Blvd Hollywood FL 33019-1602 Ph: (954) 608-7716 |
| NPI Number | 1639296833 |
|---|---|
| Provider Enumeration Date | 03/23/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639296833 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | MH5274 (Florida) | Primary |
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