| Hibiscus Children's Center | |
|
2400 Ne Dixie Hwy Jensen Beach FL 34957-5949 | |
| (772) 334-0701 | |
| (772) 334-0702 |
| Full Name | Hibiscus Children's Center |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 2400 Ne Dixie Hwy, Jensen Beach, Florida |
| Authorized Official Name and Position | Kathryn M Garbowski (CHIEF ADMINISTRATIVE OFFICER) |
| Authorized Official Contact | 7723349311 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Hibiscus Children's Center 2400 Ne Dixie Hwy Jensen Beach FL 34957-5949 Ph: (772) 334-9311 | Hibiscus Children's Center 2400 Ne Dixie Hwy Jensen Beach FL 34957-5949 Ph: (772) 334-0701 |
| NPI Number | 1477513935 |
|---|---|
| Provider Enumeration Date | 03/27/2006 |
| Last Update Date | 03/19/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477513935 | NPI | - | NPPES |
| 070709100 | Medicaid | FL | |
| 070709106 | Medicaid | FL | |
| 070709109 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 03060136 (Florida) | Secondary |
| 251S00000X | Community/behavioral Health | 03060136 (Florida) | Primary |
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