Organization
A GIFT FOR THE SOUL, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CYNTHIA SERURE LCSW (PRESIDENT/CLINICIAN)
(305) 773-5876
Entity
Organization
Contact information
Practice address
4617 ADAMS ST, HOLLYWOOD, FL 33021-7608
(305) 773-5876
Mailing address
4617 ADAMS ST, HOLLYWOOD, FL 33021-7608
(305) 773-5876
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
261QC1500X
Community Health Clinic/Center
—
—
261QD1600X
Developmental Disabilities Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Enumeration date
05/03/2020
Last updated
05/03/2020
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