Organization
ACSI COMMUNITY BEHAVIORAL CENTER, LLC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. YANET RODRIGUEZ JIMENEZ RPT, HHA (CEO)
(954) 842-3501
Entity
Organization
Contact information
Practice address
3113 STIRLING RD STE 204, FORT LAUDERDALE, FL 33312-6547
(954) 842-3501
(954) 206-0906
Mailing address
3113 STIRLING RD STE 204, FORT LAUDERDALE, FL 33312-6547
(954) 842-3501
(954) 206-0906
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
MH8867
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
021204200
—
FL
Enumeration date
01/09/2018
Last updated
01/09/2018
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