Organization
A STATE OF MIND COUNSELING AND WELLNESS CENTERS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JUDITH ANN PECORARO BS, CBHT (VICE PRESIDENT)
(954) 761-3869
Entity
Organization
Contact information
Practice address
915 MIDDLE RIVER DR, SUITE 317, FORT LAUDERDALE, FL 33304-3544
(954) 761-3869
(954) 463-1687
Mailing address
915 MIDDLE RIVER DR, SUITE 317, FORT LAUDERDALE, FL 33304-3544
(954) 761-3869
(954) 463-1687
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
—
—
Other
Enumeration date
02/05/2008
Last updated
04/08/2008
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