# HIBISCUS CHILDRENS CENTER

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

## Provider details

- **NPI number:** 1356646921
- **Authorized official:** CHERON BUTLER MA (PSYCHOTHERAPIST)
- **Authorized official phone:** (772) 882-4074

## Contact information

- **Practice address:** 5091 E PORTOFINO LANDINGS BLVD, UNIT 201, FORT PIERCE, FL 34947-5444
- **Practice address phone:** (772) 882-4074
- **Mailing address:** 5091 E PORTOFINO LANDINGS BLVD, UNIT 201, FORT PIERCE, FL 34947-5444

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251K00000X | Public Health or Welfare Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 01/12/2011
- **Last updated:** 01/12/2011