# COMMUNITY PARTNERSHIP GROUYP

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** 4442139
- **Other names:** Community Partnership
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1194144212
- **Legal business name:** 4442139
- **Authorized official:** MICHEL PETIT-FRERE COUNSELOR (CHILD AND FAMILY THERAPIST)
- **Authorized official phone:** (954) 501-8824

## Contact information

- **Practice address:** 2001 BLUE HERON BLVD W, RIVIERA BEACH, FL 33404-5003
- **Practice address phone:** (561) 841-3500
- **Mailing address:** 305 LOCK RD APT 10, DEERFIELD BEACH, FL 33442-1565
- **Mailing address phone:** (954) 501-8824

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 302F00000X | Exclusive Provider Organization | 305R00000X | FL | Yes |

## Other

- **Enumeration date:** 04/16/2014
- **Last updated:** 04/16/2014
