Organization
BREAKTHROUGH CARE AND RESOURCE CENTER, INC.
Active
Other names
Breakthrough Care and Resource Center, E and D Gervais LLC
Organization subpart
No
Provider details
NPI number
Authorized official
DELPHINE GERVAIS LCSW (CEO)
(305) 494-2798
Entity
Organization
Contact information
Practice address
7971 RIVIERA BLVD STE 316, MIRAMAR, FL 33023-6448
(305) 570-4064
(888) 284-6382
Mailing address
19821 NW 2ND AVE STE 157, MIAMI GARDENS, FL 33169-3341
(305) 494-2798
(888) 284-6382
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
1041C0700X
Clinical Social Worker
Primary
—
—
106H00000X
Marriage & Family Therapist
—
—
305S00000X
Point of Service
SW 11931
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
014020500
—
FL
Enumeration date
11/28/2016
Last updated
12/27/2021
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