Organization
THE LEAGUE OF EXTRAORDINARY CHILDREN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLES PRIOR JR. (PRESIDENT)
(843) 655-8342
Entity
Organization
Contact information
Practice address
6475 EMERALD DUNES DR APT 102, WEST PALM BEACH, FL 33411-2770
(843) 655-8342
Mailing address
6475 EMERALD DUNES DR, UNIT 102, WEST PALM BEACH, FL 33411
(843) 655-8342
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
01/11/2017
Last updated
01/11/2017
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