Organization
GAY & LESBIAN COMMUNITY CENTER OF GREATER FORT LAUDERDALE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROBERT BOO (CEO)
(954) 463-9005
Entity
Organization
Contact information
Practice address
2040 N DIXIE HWY, WILTON MANORS, FL 33305-2255
(954) 463-9005
Mailing address
2040 N DIXIE HWY, WILTON MANORS, FL 33305-2255
(954) 463-9005
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
251S00000X
Community/Behavioral Health Agency
—
—
261QC1500X
Community Health Clinic/Center
Primary
—
—
261QH0100X
Health Service Clinic/Center
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
Other
Enumeration date
03/26/2026
Last updated
05/04/2026
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