Center for Identity Development South Ltd Inc
Center for Identity Development South Ltd Inc is a Mental Health Clinic/Center (Including Community Mental Health Center) in Coconut Creek, Florida. Registered with an NPI since 2006.
- In the registry since
- 2006
What do these letters mean?
- Ltd — Limited
- A form of business registration, not a clinical qualification.
- Inc — Incorporated
- A form of business registration, not a clinical qualification.
Practice location Address checks out
4855 W Hillsboro Blvd Ste B1Coconut Creek, FL 33073-4356
Phone: (954) 345-5525
Fax: (954) 977-4978
Show map & directions
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Mental Health Clinic/Center (Including Community Mental Health Center) (primary) | Taxonomy 261QM0801X |
|---|
Record details
| NPI number | 1295894301 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Michele Lanese — President Center For Identity Devel · (954) 345-5525 |
| NPI enumerated | December 6, 2006 |
| Last updated in NPPES | July 29, 2014 |
| Mailing address | 4855 W Hillsboro Blvd, Suite B1, Coconut Creek, FL 33073-4356 |
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