Organization
FLORIDA COMMUNITY ALLIANCE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MINERVA KING LCSW (EXECUTIVE DIRECTOR)
(561) 904-6514
Entity
Organization
Contact information
Practice address
1870 FOREST HILL BLVD, SUITE 200, WEST PALM BEACH, FL 33406-8901
(561) 904-6514
Mailing address
1870 FOREST HILL BLVD, SUITE 200, WEST PALM BEACH, FL 33406-8901
(561) 904-6514
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1063768307
—
FL
05
—
1336441401
—
FL
05
—
1912956384
—
FL
Enumeration date
02/10/2014
Last updated
02/10/2014
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