Organization
CAMELOT COMMUNITY CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANA GABRIELA JOSEPH LCSW (SUPERVISOR)
(954) 958-0988
Entity
Organization
Contact information
Practice address
1925 S PERIMETER RD, FORT LAUDERDALE, FL 33309-7122
(954) 958-0988
Mailing address
199 CAROLINE DR, WEST PALM BEACH, FL 33413-1816
(973) 563-0138
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
00000000
FL
Other
Enumeration date
11/15/2012
Last updated
11/15/2012
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