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Organization

THE VILLAGE SOUTH, INC

Active
Parent organization
WESTCARE FOUNDATION
Other names
The Village
Organization subpart
Yes

Provider details

NPI number
Legal business name
WESTCARE FOUNDATION
Authorized official
DR. MICHAEL MILLER PH.D. (DIRECTOR SPECIAL PROJECTS)
(305) 586-4654
Entity
Organization

Contact information

Practice address
1633 POINCIANA DR, PEMBROKE PINES, FL 33025-4587
(315) 573-3784
(305) 576-1348
Mailing address
1633 POINCIANA DR, PEMBROKE PINES, FL 33025-4587
(315) 573-3784

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
113AD273612
FL
251S00000X
Community/Behavioral Health Agency
Primary
113AD273613
FL
251S00000X
Community/Behavioral Health Agency
113AD273650
FL
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
1113AD273605
FL
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
1113AD273606
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0605905 00
FL
Enumeration date
10/14/2005
Last updated
10/14/2021
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