Organization
DESTINATION HOPE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CYNTHIA WISDOM (CFO)
(954) 771-2091
Entity
Organization
Contact information
Practice address
6555 NW 9TH AVE STE 311, FT LAUDERDALE, FL 33309-2050
(954) 771-2091
(954) 771-2098
Mailing address
6555 NW 9TH AVE STE 112, FT LAUDERDALE, FL 33309-2048
(954) 771-2091
(954) 771-2098
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
02/18/2019
Last updated
05/20/2020
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