| Active Community Health Center | |
|
1000 N Hiatus Rd Suite 140 Pembroke Pines FL 33026-3097 | |
| (954) 937-6306 | |
| (954) 450-2419 |
| Full Name | Active Community Health Center |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1000 N Hiatus Rd, Pembroke Pines, Florida |
| Authorized Official Name and Position | Stephanie Wright Williams (THERAPIST) |
| Authorized Official Contact | 9549376306 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Active Community Health Center 1000 N Hiatus Rd Suite 140 Pembroke Pines FL 33026-3097 Ph: (954) 937-6306 | Active Community Health Center 1000 N Hiatus Rd Suite 140 Pembroke Pines FL 33026-3097 Ph: (954) 937-6306 |
| NPI Number | 1992100952 |
|---|---|
| Provider Enumeration Date | 11/01/2014 |
| Last Update Date | 11/01/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992100952 | NPI | - | NPPES |
| IMH 9898 | Other | FL | REGISTERED MENTAL HEALTH COUNSELOR INTERN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | IMH 9898 (Florida) | Primary |
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