Organization
ACTIVE COMMUNITY HEALTH CENTER CORP
Active
Parent organization
ACTIVE COMMUNITY HEALTH CENTER, CORP
Organization subpart
Yes
Provider details
NPI number
Legal business name
ACTIVE COMMUNITY HEALTH CENTER, CORP
Authorized official
PABLO URIARTE LCSW (CEO)
(954) 394-3095
Entity
Organization
Contact information
Practice address
6830 PINES BLVD, PEMBROKE PINES, FL 33024-7545
(954) 333-8787
(954) 333-8621
Mailing address
19321 SW 14TH ST, PEMBROKE PINES, FL 33029-6124
(954) 394-3095
(954) 333-8621
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
008779301
—
FL
Enumeration date
07/02/2021
Last updated
07/19/2021
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