Organization
BUTTERFLY EFFECTS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LUCNER NELSON (BACBA)
(305) 318-1252
Entity
Organization
Contact information
Practice address
2708 NE 14TH ST APT 5, POMPANO BEACH, FL 33062-3564
(954) 603-7885
(954) 342-0273
Mailing address
2708 NE 14TH ST APT 5, POMPANO BEACH, FL 33062-3564
(954) 603-7885
(954) 342-0273
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
FL
Other
Enumeration date
03/02/2011
Last updated
03/02/2011
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