Organization
TEENAGE MENTORING, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS ELIZABETH THEOLA EDWARDS RCSWI (CEO/PERSIDENT)
(954) 581-8454
Entity
Organization
Contact information
Practice address
7261 NW 16 STREET, B126, PLANTATION, FL 33313
(954) 581-8454
(954) 581-8252
Mailing address
PO BOX 223333, HOLLYWOOD, FL 33022-3333
(954) 581-8454
(954) 581-8252
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
252Y00000X
Early Intervention Provider Agency
—
—
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
10/27/2009
Last updated
10/27/2009
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