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Organization
THE CHILDREN'S PLACE AT HOME SAFE, INC.
Active
Organization
THE CHILDREN'S PLACE AT HOME SAFE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MATTHEW LADIKA (CHEIF EXECUTIVE OFFICER)
(561) 383-9800
Entity
Organization
Contact information
Practice address
2840 6TH AVE S, LAKE WORTH, FL 33461-4729
(561) 383-9800
(561) 383-9854
Mailing address
2840 6TH AVE S, LAKE WORTH, FL 33461-4729
(561) 383-9800
(561) 383-9854
Taxonomy
Speciality
Code
Description
License number
State
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
—
NULL
Other
Enumeration date
09/09/2005
Last updated
07/18/2008
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