Exultation Community Resource Center | |
4000 N State Road 7 Ste 401-2 Lauderdale Lakes FL 33319-4804 | |
(954) 478-5835 | |
Not Available |
Full Name | Exultation Community Resource Center |
---|---|
Speciality | Community/behavioral Health |
Location | 4000 N State Road 7 Ste 401-2, Lauderdale Lakes, Florida |
Authorized Official Name and Position | Phyllis Mathis (CEO) |
Authorized Official Contact | 9544785835 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Exultation Community Resource Center 517 Nw 16th Ave Fort Lauderdale FL 33311-8851 Ph: () - | Exultation Community Resource Center 4000 N State Road 7 Ste 401-2 Lauderdale Lakes FL 33319-4804 Ph: (954) 478-5835 |
NPI Number | 1508415332 |
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Provider Enumeration Date | 09/04/2019 |
Last Update Date | 09/04/2019 |
Identifier | Type | State | Issuer |
---|---|---|---|
1508415332 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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