# ALAS FAMILY SUPPORT CENTER INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** ALAS FAMILY SUPPORT CENTER INC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1265909287
- **Authorized official:** BLANCA M DE REYES MS (CEO)
- **Authorized official phone:** (772) 248-2291

## Contact information

- **Practice address:** 16652 SW WARFIELD BLVD, INDIANTOWN, FL 34956-4407
- **Practice address phone:** (772) 248-2291
- **Practice address fax:** (772) 248-2298
- **Mailing address:** 16652 SW WARFIELD BLVD, INDIANTOWN, FL 34956-4407
- **Mailing address phone:** (772) 248-2291
- **Mailing address fax:** (772) 248-2298

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251B00000X | Case Management Agency | — | NULL | Yes |
| 251S00000X | Community/Behavioral Health Agency | — | NULL | — |

## Other

- **Enumeration date:** 10/29/2018
- **Last updated:** 10/29/2018

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 717325 | — | FL |