| Florida Community Alliance, Inc. | |
|
1870 Forest Hill Blvd Suite 200 West Palm Beach FL 33406-8901 | |
| (561) 904-6514 | |
| Not Available |
| Full Name | Florida Community Alliance, Inc. |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1870 Forest Hill Blvd, West Palm Beach, Florida |
| Authorized Official Name and Position | Minerva King (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 5619046514 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Florida Community Alliance, Inc. 1870 Forest Hill Blvd Suite 200 West Palm Beach FL 33406-8901 Ph: (561) 904-6514 | Florida Community Alliance, Inc. 1870 Forest Hill Blvd Suite 200 West Palm Beach FL 33406-8901 Ph: (561) 904-6514 |
| NPI Number | 1871917054 |
|---|---|
| Provider Enumeration Date | 02/10/2014 |
| Last Update Date | 02/10/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871917054 | NPI | - | NPPES |
| 1063768307 | Medicaid | FL | |
| 1912956384 | Medicaid | FL | |
| 1336441401 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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