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Organization
SPIRITUAL CONNECTION OUTREACH COMMUNITY CENTER OF SOUTH FLORIDA
Active
Organization
SPIRITUAL CONNECTION OUTREACH COMMUNITY CENTER OF SOUTH FLORIDA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOANN RAIOLA CBHCMS (CFO)
(917) 567-0530
Entity
Organization
Contact information
Practice address
5975 W SUNRISE BVLD, SUITE 210, PLANTATION, FL 33313-1663
(917) 567-0530
Mailing address
5061 W OAKLAND PARK BLVD APT 112, LAUDERDALE LAKES, FL 33313-1664
(917) 567-0530
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
Primary
—
—
1041C0700X
Clinical Social Worker
—
—
251B00000X
Case Management Agency
—
—
Other
Enumeration date
08/31/2023
Last updated
07/13/2024
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