Organization
IMPACT COMMUNITY SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PAUL SCHAUBER LCSW (EXECUTIVE DIRECTOR)
(954) 640-0340
Entity
Organization
Contact information
Practice address
5631 NW 27TH CT, LAUDERHILL, FL 33313-2397
(954) 640-0340
(954) 640-0344
Mailing address
5631 NW 27TH CT, LAUDERHILL, FL 33313-2397
(954) 640-0340
(954) 640-0344
Taxonomy
Speciality
Code
Description
License number
State
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
—
FL
Other
Enumeration date
03/08/2006
Last updated
08/22/2020
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