Organization
DESTINATION HOPE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BENJAMIN B BRAFMAN L.M.H.C. (PRESIDENT)
(954) 771-2091
Entity
Organization
Contact information
Practice address
6460 NW 5TH WAY, SUITES 6458, 6456, 6454, FORT LAUDERDALE, FL 33309-6112
(954) 771-2091
(954) 771-2098
Mailing address
6460 NW 5TH WAY, FORT LAUDERDALE, FL 33309-6112
(954) 771-2091
(954) 771-2098
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
—
—
324500000X
Substance Abuse Rehabilitation Facility
Primary
1706AD588401
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1045134
DCF D/N LIC
FL
01
—
1045135
DCF OP
FL
01
—
1045136
DCF IOP
FL
Enumeration date
06/18/2007
Last updated
07/21/2022
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