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Organization

BEHAVIORAL HEALTH CARE MANAGEMENT SYSTEMS

Active
Other names
Endeavor Family Services
Organization subpart
No

Provider details

NPI number
Authorized official
MR. RAY BERRY (CEO)
(954) 926-6020
Entity
Organization

Contact information

Practice address
2917 N PINE HILLS RD, ORLANDO, FL 32808-3539
(407) 521-6141
(407) 521-6651
Mailing address
1939 TYLER ST, HOLLYWOOD, FL 33020-4516
(954) 926-6020
(954) 926-6362

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
274913
HARMONY ID NUMBER
FL
01
277387
AMERIGROUP ID NUMBER
FL
Enumeration date
08/03/2006
Last updated
08/22/2020
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