Organization
ALTERNATE GROUP CARE, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID L FERGUSON PHD (PRESIDENT)
(954) 746-5200
Entity
Organization
Contact information
Practice address
20250 SW 50TH PL, SOUTHWEST RANCHES, FL 33332-1021
(954) 680-8462
Mailing address
10001 W OAKLAND PARK BLVD, STE 200, SUNRISE, FL 33351-6925
(954) 746-5200
(954) 746-5216
Taxonomy
Speciality
Code
Description
License number
State
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
38
FL
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
39
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
029582502
—
FL
05
—
029582509
—
FL
Enumeration date
07/22/2013
Last updated
07/22/2013
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