| The Parents Information And Resource Center Inc | |
|
817 N Dixie Hwy Pompano Beach FL 33060-5621 | |
| (954) 785-8285 | |
| (954) 784-2756 |
| Full Name | The Parents Information And Resource Center Inc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 817 N Dixie Hwy, Pompano Beach, Florida |
| Authorized Official Name and Position | Janet V Ward (CEO) |
| Authorized Official Contact | 9547858285 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| The Parents Information And Resource Center Inc 817 N Dixie Hwy Pompano Beach FL 33060-5621 Ph: (954) 785-8285 | The Parents Information And Resource Center Inc 817 N Dixie Hwy Pompano Beach FL 33060-5621 Ph: (954) 785-8285 |
| NPI Number | 1396801999 |
|---|---|
| Provider Enumeration Date | 12/28/2006 |
| Last Update Date | 05/30/2008 |
| Medicare PECOS PAC ID | 5395654206 |
|---|---|
| Medicare Enrollment ID | O20040121000924 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396801999 | NPI | - | NPPES |
| 070812700 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | ME54921 (Florida) | Primary |
| Provider Name | Serge T Celestin |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1639284193 PECOS PAC ID: 3678597515 Enrollment ID: I20070502000031 |
| Provider Name | Fred Jean |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1972605558 PECOS PAC ID: 8921917832 Enrollment ID: I20120611000597 |
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