| Krystal Farnum | |
|
6919 W Broward Blvd Ste 151 Plantation FL 33317-2902 | |
| (954) 283-0747 | |
| Not Available |
| Full Name | Krystal Farnum |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 6919 W Broward Blvd Ste 151, Plantation, Florida |
| Authorized Official Name and Position | Krystal Farnum (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 5705403465 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Krystal Farnum 6919 W Broward Blvd Ste 151 Plantation FL 33317-2902 Ph: () - | Krystal Farnum 6919 W Broward Blvd Ste 151 Plantation FL 33317-2902 Ph: (954) 283-0747 |
| NPI Number | 1457983777 |
|---|---|
| Provider Enumeration Date | 02/05/2020 |
| Last Update Date | 02/05/2020 |
| Certification Date | 02/05/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457983777 | NPI | - | NPPES |
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