# FIRST IMPRESSIONS CUMMUNITY DEVELOPMENT CORP.

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

## Provider details

- **NPI number:** 1417330960
- **Authorized official:** MRS. SHATARIA BRIDGES-MOSS (OWNER)
- **Authorized official phone:** (305) 525-7946

## Contact information

- **Practice address:** 20101 NW 34TH CT, MIAMI GARDENS, FL 33056-1768
- **Practice address phone:** (305) 525-7946
- **Practice address fax:** (305) 620-1614
- **Mailing address:** 20101 NW 34TH CT, MIAMI GARDENS, FL 33056-1768
- **Mailing address phone:** (305) 525-7946
- **Mailing address fax:** (305) 620-1614

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA0600X | Adult Day Care Clinic/Center | — | FL | — |
| 320600000X | Intellectual and/or Developmental Disabilities Residential Treatment Facility | — | FL | — |
| 322D00000X | Emotionally Disturbed Childrens' Residential Treatment Facility | — | FL | Yes |

## Other

- **Enumeration date:** 07/01/2015
- **Last updated:** 07/01/2015