Organization
NEW OPTIONS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CASSANDRA SIERRA MS, CAP, CRPS, ICADC (CEO)
(561) 795-1518
Entity
Organization
Contact information
Practice address
12794 W FOREST HILL BLVD, WELLINGTON, FL 33414-4710
(561) 795-1518
Mailing address
12794 W FOREST HILL BLVD, WELLINGTON, FL 33414-4710
(561) 795-1518
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
811219
FL
Other
Enumeration date
11/23/2010
Last updated
11/23/2010
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