Organization
STEPHANIE'S FAMILY
Active
Organization
STEPHANIE'S FAMILY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DEXTER D HEAD (PRACITICE MANAGER)
(772) 219-4041
Entity
Organization
Contact information
Practice address
3613 COCONUT RD, LAKE WORTH, FL 33461-3585
(561) 502-0305
(772) 872-5287
Mailing address
3613 COCONUT RD, LAKE WORTH, FL 33461-3585
(561) 502-0305
(772) 872-5287
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
01/21/2014
Last updated
03/19/2014
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