Impact Community Services, Inc.

NPI 1043287097 - Residential Treatment Facility, Emotionally Disturbed Children - 322D00000X

NPI Details
NPI 1043287097
Enumeration Date 03/08/2006
Last Updated 07/09/2007
Entity Type Healthcare Provider
Active Over 11 years ago
Authorized Information
Name PAUL PAUL
Position EXECUTIVE DIRECTOR
Phone (954) 640-0340
Fax (954) 640-0344
Practice Location
5631 NW 27TH CT
LAUDERHILL FL, 33313-2397, US
Phone (954) 640-0340
Fax (954) 640-0344
Business Location
5631 NW 27TH CT
LAUDERHILL FL, 33313-2397, US
Phone (954) 640-0340
Fax (954) 640-0344
Toxanomy
Taxonomy Code 322D00000X
License State
License Number
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According to our database, Impact Community Services, Inc. NPI is 1043287097, taxonomy code is 322D00000X Impact Community Services, Inc. physically located at 5631 Nw 27th Ct, Lauderhill FL, 33313-2397. NPI Number 1033115704 has the healthcare provider type.

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1043287097 NPI number is provided on an as is basis without warranty of any kind. 1043287097 is maintained by the National Plan & Provider Enumeration System. The contents of Impact Community Services, Inc. are for informational purposes only.