Organization
THE BOUGAINVILLA HOUSE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. VERONICA CARTAGENA (CHIEF EXECUTIVE OFFICER)
(954) 764-7337
Entity
Organization
Contact information
Practice address
1727 SE 4TH AVE, FORT LAUDERDALE, FL 33316-2515
(954) 764-7337
(954) 764-6283
Mailing address
1721 SE 4TH AVE, FORT LAUDERDALE, FL 33316-2515
(954) 764-7337
(954) 764-6283
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
324500000X
Substance Abuse Rehabilitation Facility
1706AD094501
FL
3245S0500X
Children's Substance Abuse Rehabilitation Facility
1706AD094501
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
013497000
—
FL
Enumeration date
08/20/2013
Last updated
02/20/2025
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