# C&S GROUP HOME

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

## Provider details

- **NPI number:** 1588419063
- **Authorized official:** CHRISTINE THERESA HARLEY (OWNER)
- **Authorized official phone:** (954) 687-5203

## Contact information

- **Practice address:** 2333 NW 139TH AVE, SUNRISE, FL 33323-5331
- **Practice address phone:** (954) 419-8872
- **Mailing address:** 2333 NW 139TH AVE, SUNRISE, FL 33323-5331
- **Mailing address phone:** (954) 419-8872

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 320600000X | Intellectual and/or Developmental Disabilities Residential Treatment Facility | — | NULL | Yes |

## Other

- **Enumeration date:** 04/18/2024
- **Last updated:** 04/18/2024