# GAY & LESBIAN COMMUNITY CENTER OF GREATER FORT LAUDERDALE, INC.

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

## Provider details

- **NPI number:** 1649119538
- **Authorized official:** MR. ROBERT BOO (CEO)
- **Authorized official phone:** (954) 463-9005

## Contact information

- **Practice address:** 2040 N DIXIE HWY, WILTON MANORS, FL 33305-2255
- **Practice address phone:** (954) 463-9005
- **Mailing address:** 2040 N DIXIE HWY, WILTON MANORS, FL 33305-2255
- **Mailing address phone:** (954) 463-9005

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251B00000X | Case Management Agency | — | NULL | — |
| 251S00000X | Community/Behavioral Health Agency | — | NULL | — |
| 261QC1500X | Community Health Clinic/Center | — | NULL | Yes |
| 261QH0100X | Health Service Clinic/Center | — | NULL | — |
| 261QM0801X | Mental Health Clinic/Center (Including Community Mental Health Center) | — | NULL | — |
| 261QM0850X | Adult Mental Health Clinic/Center | — | NULL | — |

## Other

- **Enumeration date:** 03/26/2026
- **Last updated:** 05/04/2026
