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Organization
ACSI COMMUNITY BEHAVIORAL CENTER, LLC.
Active
Organization
ACSI COMMUNITY BEHAVIORAL CENTER, LLC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. YANET RODRIGUEZ JIMENEZ RPT, HHA (CEO)
(954) 842-3501
Entity
Organization
Contact information
Practice address
3113 STIRLING RD STE 204, FORT LAUDERDALE, FL 33312-6547
(954) 842-3501
(954) 206-0906
Mailing address
3113 STIRLING RD STE 204, FORT LAUDERDALE, FL 33312-6547
(954) 842-3501
(954) 206-0906
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
MH8867
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
021204200
—
FL
Enumeration date
01/09/2018
Last updated
01/09/2018
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