Organization
COMMUNITY PARTNERSHIP GROUYP
Active
Parent organization
4442139
Other names
Community Partnership
Organization subpart
Yes
Provider details
NPI number
Legal business name
4442139
Authorized official
MICHEL PETIT-FRERE COUNSELOR (CHILD AND FAMILY THERAPIST)
(954) 501-8824
Entity
Organization
Contact information
Practice address
2001 BLUE HERON BLVD W, RIVIERA BEACH, FL 33404-5003
(561) 841-3500
Mailing address
305 LOCK RD APT 10, DEERFIELD BEACH, FL 33442-1565
(954) 501-8824
Taxonomy
Speciality
Code
Description
License number
State
302F00000X
Exclusive Provider Organization
Primary
305R00000X
FL
Other
Enumeration date
04/16/2014
Last updated
04/16/2014
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