Organization
CHANGEFORBETTERLIFE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DOLORES GANT (PRESIDENT)
(954) 966-6680
Entity
Organization
Contact information
Practice address
7511 NW 1ST ST, PEMBROKE PINES, FL 33024-7001
(954) 966-6680
(954) 966-6680
Mailing address
7511 NW 1ST ST, PEMBROKE PINES, FL 33024-7001
(954) 966-6680
(954) 966-6680
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
101543FH
FL
261QA0600X
Adult Day Care Clinic/Center
Primary
—
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
675005296
—
FL
Enumeration date
05/30/2008
Last updated
05/30/2008
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up