Organization
PSYCHOSOCIAL REHABILITATION CENTER INC
Active
Organization
PSYCHOSOCIAL REHABILITATION CENTER INC
Active
Other names
Fellowship House
Organization subpart
No
Provider details
NPI number
Authorized official
MARTA L SANCHEZ (VICE PRESIDENT OF OPERATIONS)
(305) 667-1036
Entity
Organization
Contact information
Practice address
9827 E HIBISCUS ST, PALMETTO BAY, FL 33157-5406
(305) 667-1036
(305) 667-4938
Mailing address
5711 S DIXIE HWY, SOUTH MIAMI, FL 33143-3694
(305) 667-1036
(305) 667-4938
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
060333317
—
FL
Enumeration date
08/09/2021
Last updated
08/09/2021
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