# SPIRITUAL CONNECTION OUTREACH COMMUNITY CENTER OF SOUTH FLORIDA

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1356058762
- **Authorized official:** JOANN RAIOLA CBHCMS (CFO)
- **Authorized official phone:** (917) 567-0530

## Contact information

- **Practice address:** 5975 W SUNRISE BVLD, SUITE 210, PLANTATION, FL 33313-1663
- **Practice address phone:** (917) 567-0530
- **Mailing address:** 5975 W SUNRISE BVLD, PLANTATION, FL 33313
- **Mailing address phone:** (917) 794-5972

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251B00000X | Case Management Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 11/04/2022
- **Last updated:** 07/17/2024