Organization
FIRST IMPRESSIONS CUMMUNITY DEVELOPMENT CORP.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SHATARIA BRIDGES-MOSS (OWNER)
(305) 525-7946
Entity
Organization
Contact information
Practice address
20101 NW 34TH CT, MIAMI GARDENS, FL 33056-1768
(305) 525-7946
(305) 620-1614
Mailing address
20101 NW 34TH CT, MIAMI GARDENS, FL 33056-1768
(305) 525-7946
(305) 620-1614
Taxonomy
Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
—
FL
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
—
FL
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
—
FL
Other
Enumeration date
07/01/2015
Last updated
07/01/2015
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