Organization
CMET
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CARLA BRINKERHOFF LMHC (CLINICAL DIRECTOR)
(954) 835-5741
Entity
Organization
Contact information
Practice address
1527 NE 4TH AVE, FORT LAUDERDALE, FL 33304-1035
(954) 835-5741
Mailing address
1527 NE 4TH AVE, FORT LAUDERDALE, FL 33304-1035
(954) 835-5741
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
MH8751
FL
Other
Enumeration date
09/25/2013
Last updated
09/25/2013
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