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Organization

CHILDREN'S HARBOR

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. SUE GLASSCOCK MS (CEO)
(954) 392-5689
Entity
Organization

Contact information

Practice address
19425 SW 58TH MNR, FORT LAUDERDALE, FL 33332-3338
(954) 392-5689
(954) 252-7134
Mailing address
19425 SW 58TH MNR, FORT LAUDERDALE, FL 33332-3338
(954) 392-5689
(954) 252-7134

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
FL

Other

Enumeration date
11/09/2006
Last updated
08/22/2020
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