Organization
FLORIDA YOUTH SERVICES SOUTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. STEPHAN BENSON (CEO)
(954) 822-4891
Entity
Organization
Contact information
Practice address
4515 N STATE ROAD 7, LAUDERDALE LAKES, FL 33319-5883
(954) 822-4891
Mailing address
4420 NW 15TH ST, LAUDERHILL, FL 33313-5621
(954) 822-4891
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
251S00000X
Community/Behavioral Health Agency
—
—
Other
Enumeration date
04/04/2016
Last updated
04/04/2016
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