# TEENAGE MENTORING, INC.

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

## Provider details

- **NPI number:** 1831425883
- **Authorized official:** MISS ELIZABETH THEOLA EDWARDS RCSWI (CEO/PERSIDENT)
- **Authorized official phone:** (954) 581-8454

## Contact information

- **Practice address:** 7261 NW 16 STREET, B126, PLANTATION, FL 33313
- **Practice address phone:** (954) 581-8454
- **Practice address fax:** (954) 581-8252
- **Mailing address:** PO BOX 223333, HOLLYWOOD, FL 33022-3333
- **Mailing address phone:** (954) 581-8454
- **Mailing address fax:** (954) 581-8252

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251B00000X | Case Management Agency | — | NULL | — |
| 252Y00000X | Early Intervention Provider Agency | — | NULL | — |
| 253Z00000X | In Home Supportive Care Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 10/27/2009
- **Last updated:** 10/27/2009