Organization
CHILDREN'S HOME SCOCIETY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NANOUCHEKA CHEVELON MSW (COUNSELOR)
(561) 305-5976
Entity
Organization
Contact information
Practice address
401 NE 4TH ST, FORT LAUDERDALE, FL 33301-1151
(954) 453-6400
Mailing address
22319 SW 65TH AVE, BOCA RATON, FL 33428-6010
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
ISW5501
FL
Other
Enumeration date
02/08/2012
Last updated
02/08/2012
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