Organization
FLORIDA JUSTICE CENTER, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GRETCHEN RARING LCSW (CLINICAL SUPERVISOR)
(954) 758-7555
Entity
Organization
Contact information
Practice address
3469 N DIXIE HWY, OAKLAND PARK, FL 33334-2872
(954) 758-7555
(954) 758-7556
Mailing address
3469 N DIXIE HWY, OAKLAND PARK, FL 33334-2872
(954) 758-7555
(954) 758-7556
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
251V00000X
Voluntary or Charitable Agency
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
Other
Enumeration date
12/02/2020
Last updated
12/02/2020
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