Organization
BROWARD HOUSE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STACY L HYDE MSW (CEO)
(954) 522-4749
Entity
Organization
Contact information
Practice address
1726 SE 3RD AVE, FORT LAUDERDALE, FL 33316-2514
(954) 522-4749
(954) 522-9357
Mailing address
1726 SE 3RD AVE, FORT LAUDERDALE, FL 33316-2514
(954) 522-4749
(954) 522-9357
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
MH 12593
FL
Other
Enumeration date
10/29/2014
Last updated
10/29/2014
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