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Organization

FAMILY PRESERVATION SERVICES

Active
Organization subpart
No

Provider details

NPI number
Authorized official
RICARDO SANTIAGO LMHC (CLINICAL DIRECTOR)
(561) 683-4778
Entity
Organization

Contact information

Practice address
2051 MARTIN LUTHER KING JR BLVD, RIVIERA BEACH, FL 33404-7004
(561) 683-4778
Mailing address
2051 MARTIN LUTHER KING JR BLVD, RIVIERA BEACH, FL 33404-7004

Taxonomy

Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary

Other

Enumeration date
05/02/2011
Last updated
05/02/2011
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