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Organization
HOW WE SEE IT
Active
Organization
HOW WE SEE IT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JEFF ROCKER LMHC (CEO)
(786) 355-8680
Entity
Organization
Contact information
Practice address
10700 CITY CENTER BLVD APT 5245, PEMBROKE PINES, FL 33025-4095
(786) 355-8680
Mailing address
10700 CITY CENTER BLVD APT 5245, PEMBROKE PINES, FL 33025-4095
(786) 355-8680
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Enumeration date
07/17/2019
Last updated
07/17/2019
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