Organization
COVENANT HOUSE FLORIDA, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAMES GRESS (EXECUTIVE DIRECTOR)
(954) 568-7925
Entity
Organization
Contact information
Practice address
733 BREAKERS AVENUE, FT. LAUDERDALE, FL 33304-4100
(954) 568-7939
(954) 565-6551
Mailing address
733 BREAKERS AVENUE, FT. LAUDERDALE, FL 33304-4100
(954) 565-6551
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
1006AD360701
FL
Other
Enumeration date
04/18/2008
Last updated
04/18/2008
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