Organization
ALAS FAMILY SUPPORT CENTER INC
Active
Other names
ALAS FAMILY SUPPORT CENTER INC
Organization subpart
No
Provider details
NPI number
Authorized official
BLANCA M DE REYES MS (CEO)
(772) 248-2291
Entity
Organization
Contact information
Practice address
16652 SW WARFIELD BLVD, INDIANTOWN, FL 34956-4407
(772) 248-2291
(772) 248-2298
Mailing address
16652 SW WARFIELD BLVD, INDIANTOWN, FL 34956-4407
(772) 248-2291
(772) 248-2298
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
251S00000X
Community/Behavioral Health Agency
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
717325
—
FL
Enumeration date
10/29/2018
Last updated
10/29/2018
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