Organization
SOVEREIGN BUSINESS MANAGEMENT, INC.
Active
Other names
Positive Imprints
Organization subpart
No
Provider details
NPI number
Authorized official
WALTER HOWARD M.S. (PRESIDENT)
(305) 308-9932
Entity
Organization
Contact information
Practice address
2331 N STATE ROAD 7, SUITE 124, LAUDERDALE LAKES, FL 33313-3748
(305) 308-9932
Mailing address
5010 SW 19TH ST, WEST PARK, FL 33023-3271
(305) 308-9932
Taxonomy
Speciality
Code
Description
License number
State
251300000X
Local Education Agency (LEA)
1005984
FL
251S00000X
Community/Behavioral Health Agency
MT 2758
FL
261QM0855X
Adolescent and Children Mental Health Clinic/Center
Primary
MT 2758
FL
Other
Enumeration date
08/12/2011
Last updated
11/06/2013
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