# SOCIAL HEALTH COMPANY

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- **Entity:** Organization
- **Status:** Active
- **Other names:** SOCIAL HEALTH
- **Organization subpart:** No

## Provider details

- **NPI number:** 1417602764
- **Authorized official:** MR. WALLACE DE ROTHSMAN (CEO)
- **Authorized official phone:** (650) 379-9946

## Contact information

- **Practice address:** 501 E LAS OLAS BLVD STE 222, FORT LAUDERDALE, FL 33301-2882
- **Practice address phone:** (888) 484-2466
- **Mailing address:** 2221 NE 164TH ST STE 296, AVENTURA, FL 33160-3703
- **Mailing address phone:** (888) 484-2466

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 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 | — | NULL | Yes |
| 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