Organization
8544 MIRAMAR PARKWAY OUTREACH INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CYNTHIA ANTHONY (OWNER)
(954) 851-5958
Entity
Organization
Contact information
Practice address
8544 MIRAMAR PKWY, MIRAMAR, FL 33025-2854
(954) 851-5958
Mailing address
8544 MIRAMAR PKWY, MIRAMAR, FL 33025-2854
(954) 851-5958
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
05/06/2019
Last updated
05/06/2019
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