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Organization
YOU TUNE
Active
Organization
YOU TUNE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GENE HUGHES (PROGRAM DIRECTOR)
(954) 232-1003
Entity
Organization
Contact information
Practice address
2893 EXECUTIVE PARK DR, SUITE 300, WESTON, FL 33331-3664
(954) 232-1003
Mailing address
2893 EXECUTIVE PARK DR, SUITE 300, WESTON, FL 33331-3664
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
MH4431
FL
Other
Enumeration date
10/10/2016
Last updated
10/10/2016
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