Organization
NEW PHASES COMMUNITY SERVICE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMILIA MCDONALD (CEO)
(516) 412-1000
Entity
Organization
Contact information
Practice address
1321 NW 144TH AVE, PEMBROKE PINES, FL 33028-2919
(516) 412-1000
Mailing address
1321 NW 144TH AVE, PEMBROKE PINES, FL 33028-2919
(516) 412-1000
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
06/28/2020
Last updated
06/28/2020
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