Organization
DISCIPLESHIP HOUSE 227 LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KENNETH LARRY JOHNSON (PRESIDENT)
(954) 294-5600
Entity
Organization
Contact information
Practice address
216 NE 19TH AVE, POMPANO BEACH, FL 33060-6743
(954) 294-5600
(772) 872-5287
Mailing address
216 NE 19TH AVE, POMPANO BEACH, FL 33060-6743
(954) 294-5600
(772) 872-5287
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
03/19/2014
Last updated
03/19/2014
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