Organization
PROVISION OF THE HEARTS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THERESA SMITH (BILLING MANAGER)
(954) 746-8232
Entity
Organization
Contact information
Practice address
1705 NW 73RD AVE, PLANTATION, FL 33313-4422
(954) 746-8232
(954) 746-8231
Mailing address
1705 NW 73RD AVE, PLANTATION, FL 33313-4422
(954) 746-8232
(954) 746-8231
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
—
—
Other
Enumeration date
08/15/2013
Last updated
07/15/2014
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