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Organization
ALAS FAMILY SUPPORT CENTER INC
Active
Organization
ALAS FAMILY SUPPORT CENTER INC
Active
Other names
ALAS FAMILY SUPPORT CENTER INC
Organization subpart
No
Provider details
NPI number
Authorized official
BLANCA M DE REYES MS (CEO)
(772) 248-2291
Entity
Organization
Contact information
Practice address
16652 SW WARFIELD BLVD, INDIANTOWN, FL 34956-4407
(772) 248-2291
(772) 248-2298
Mailing address
16652 SW WARFIELD BLVD, INDIANTOWN, FL 34956-4407
(772) 248-2291
(772) 248-2298
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
NULL
251S00000X
Community/Behavioral Health Agency
—
NULL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
717325
—
FL
Enumeration date
10/29/2018
Last updated
10/29/2018
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