Organization
THERACARE COMMUNITY CENTER, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WALTER WILLIAM HOWARD M.S., LMFT (EXECUTIVE DIRECTOR)
(954) 256-4601
Entity
Organization
Contact information
Practice address
7481 W OAKLAND PARK BLVD, SUITE 302 C, TAMARAC, FL 33319-4985
(954) 256-4601
Mailing address
5010 SW 19TH ST, WEST PARK, FL 33023-3271
(954) 256-4601
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
MT 2758
FL
251S00000X
Community/Behavioral Health Agency
MT 2758
FL
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
MT 2758
FL
261QM0850X
Adult Mental Health Clinic/Center
Primary
MT 2758
FL
261QM0855X
Adolescent and Children Mental Health Clinic/Center
MT 2758
FL
Other
Enumeration date
08/07/2013
Last updated
12/23/2015
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