Organization
PARENT-CHILD CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. G SCOTT HANSEL (CEO)
(561) 841-3500
Entity
Organization
Contact information
Practice address
2001 W BLUE HERON BLVD, RIVIERA BEACH, FL 33404
(561) 841-3500
(561) 841-3555
Mailing address
2001 W BLUE HERON BLVD, RIVIERA BEACH, FL 33404-5003
(561) 841-3500
(561) 841-3555
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
11926
FL
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
060336800
—
FL
Enumeration date
08/02/2006
Last updated
07/12/2018
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