# FIRST IMPRESSIONS COMMUNITY DEVELOPEMENT CORP.

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

## Provider details

- **NPI number:** 1932543634
- **Authorized official:** SHATARIA BRIDGES MOSS (PRESIDENT)
- **Authorized official phone:** (561) 572-6250

## Contact information

- **Practice address:** 13366 SW 288TH ST, HOMESTEAD, FL 33033-1927
- **Practice address phone:** (561) 572-6250
- **Practice address fax:** (305) 248-4284
- **Mailing address:** 20101 NW 34TH CT, MIAMI GARDENS, FL 33056-1768
- **Mailing address phone:** (561) 572-6250
- **Mailing address fax:** (305) 248-4284

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251B00000X | Case Management Agency | — | FL | Yes |
| 251S00000X | Community/Behavioral Health Agency | — | NULL | — |

## Other

- **Enumeration date:** 04/24/2013
- **Last updated:** 04/24/2013