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Organization
SOCIAL HEALTH COMPANY
Active
Organization
SOCIAL HEALTH COMPANY
Active
Other names
SOCIAL HEALTH
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WALLACE DE ROTHSMAN (CEO)
(650) 379-9946
Entity
Organization
Contact information
Practice address
501 E LAS OLAS BLVD STE 222, FORT LAUDERDALE, FL 33301-2882
(888) 484-2466
Mailing address
2221 NE 164TH ST STE 296, AVENTURA, FL 33160-3703
(888) 484-2466
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
NULL
101YM0800X
Mental Health Counselor
—
—
171000000X
Military Health Care Provider
—
NULL
171000000X
Military Health Care Provider
—
—
251T00000X
PACE Provider Organization
—
NULL
302F00000X
Exclusive Provider Organization
Primary
—
NULL
302R00000X
Health Maintenance Organization
—
NULL
305R00000X
Preferred Provider Organization
—
NULL
3336M0003X
Managed Care Organization Pharmacy
—
NULL
Other
Enumeration date
02/15/2022
Last updated
02/15/2022
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