| Developing Assistance To A Vast Innovative Society Community Developme | |
|
1780 Nw 36th Ter Lauderhill FL 33311-4128 | |
| (954) 669-0209 | |
| Not Available |
| Full Name | Developing Assistance To A Vast Innovative Society Community Developme |
|---|---|
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 1780 Nw 36th Ter, Lauderhill, Florida |
| Authorized Official Name and Position | Adriene Alisha Cox (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 9546690209 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Developing Assistance To A Vast Innovative Society Community Developme 1780 Nw 36th Ter Lauderhill FL 33311-4128 Ph: (954) 669-0209 | Developing Assistance To A Vast Innovative Society Community Developme 1780 Nw 36th Ter Lauderhill FL 33311-4128 Ph: (954) 669-0209 |
| NPI Number | 1518516046 |
|---|---|
| Provider Enumeration Date | 09/06/2019 |
| Last Update Date | 09/06/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518516046 | NPI | - | NPPES |
| NONE | Other | FL | NONE |
| 812381689 | Other | FL | IRS |
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