Organization
FIRST IMPRESSIONS COMMUNITY DEVELOPEMENT CORP.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHATARIA BRIDGES MOSS (PRESIDENT)
(561) 572-6250
Entity
Organization
Contact information
Practice address
13366 SW 288TH ST, HOMESTEAD, FL 33033-1927
(561) 572-6250
(305) 248-4284
Mailing address
20101 NW 34TH CT, MIAMI GARDENS, FL 33056-1768
(561) 572-6250
(305) 248-4284
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
FL
251S00000X
Community/Behavioral Health Agency
—
—
Other
Enumeration date
04/24/2013
Last updated
04/24/2013
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