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Organization
FAMILY INTERVENTION SERVICES, INC.
Active
Organization
FAMILY INTERVENTION SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. NICOLE E BUDDLE-DIAZ LCSW (PRESIDENT)
(954) 224-5031
Entity
Organization
Contact information
Practice address
350 NW 70TH AVE STE A, PLANTATION, FL 33317-2349
(954) 587-7522
Mailing address
350 NW 70TH AVE STE A, PLANTATION, FL 33317-2349
(954) 587-7522
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CAP 3256
FL
1041C0700X
Clinical Social Worker
SW 6986
FL
Other
Enumeration date
03/30/2007
Last updated
09/11/2025
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