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Organization
DEVELOPING ASSISTANCE TO A VAST INNOVATIVE SOCIETY COMMUNITY DEVELOPME
Active
Organization
DEVELOPING ASSISTANCE TO A VAST INNOVATIVE SOCIETY COMMUNITY DEVELOPME
Active
Other names
F.I.R.S.T Rehabilitation
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ADRIENE ALISHA COX (EXECUTIVE DIRECTOR)
(954) 669-0209
Entity
Organization
Contact information
Practice address
1780 NW 36TH TER, LAUDERHILL, FL 33311-4128
(954) 669-0209
Mailing address
1780 NW 36TH TER, LAUDERHILL, FL 33311-4128
(954) 669-0209
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
NULL
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
106S00000X
Behavior Technician
—
NULL
106S00000X
Behavior Technician
—
—
172V00000X
Community Health Worker
—
NULL
172V00000X
Community Health Worker
—
—
174200000X
Meals Provider
—
NULL
251J00000X
Nursing Care Agency
—
NULL
251S00000X
Community/Behavioral Health Agency
—
NULL
252Y00000X
Early Intervention Provider Agency
—
NULL
253J00000X
Foster Care Agency
—
NULL
273Y00000X
Rehabilitation Hospital Unit
—
NULL
3245S0500X
Children's Substance Abuse Rehabilitation Facility
—
NULL
Other
Enumeration date
09/06/2019
Last updated
09/06/2019
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