# ELITE BEHAVIORAL HEALTH CENTER

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1568795615
- **Authorized official:** DENISE SMITH (PRESIDENT)
- **Authorized official phone:** (954) 444-6287

## Contact information

- **Practice address:** 611 NE 13TH ST, FT LAUDERDALE, FL 33304-1109
- **Practice address phone:** (954) 563-8000
- **Mailing address:** 611 NE 13TH ST, FT LAUDERDALE, FL 33304-1109
- **Mailing address phone:** (954) 563-8000

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 322D00000X | Emotionally Disturbed Childrens' Residential Treatment Facility | — | NULL | Yes |

## Other

- **Enumeration date:** 09/08/2009
- **Last updated:** 09/08/2009
