Organization
BARRY'S TRANSITIONAL HOUSING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. THERESA SMITH (BUSINESS MANAGER)
(954) 746-8232
Entity
Organization
Contact information
Practice address
561 NE 1ST AVE, DEERFIELD BEACH, FL 33441-2059
(954) 746-8232
(954) 746-8981
Mailing address
561 NE 1ST AVE, DEERFIELD BEACH, FL 33441-2059
(954) 746-8232
(954) 746-8981
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10D2056718
FACILITY CLIA
FL
Enumeration date
04/29/2013
Last updated
07/07/2014
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