| Alas Family Support Center Inc | |
|
16652 Sw Warfield Blvd Indiantown FL 34956-4407 | |
| (772) 248-2291 | |
| (772) 248-2298 |
| Full Name | Alas Family Support Center Inc |
|---|---|
| Speciality | Case Management |
| Location | 16652 Sw Warfield Blvd, Indiantown, Florida |
| Authorized Official Name and Position | Blanca M De Reyes (CEO) |
| Authorized Official Contact | 7722482291 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Alas Family Support Center Inc 16652 Sw Warfield Blvd Indiantown FL 34956-4407 Ph: (772) 248-2291 | Alas Family Support Center Inc 16652 Sw Warfield Blvd Indiantown FL 34956-4407 Ph: (772) 248-2291 |
| NPI Number | 1265909287 |
|---|---|
| Provider Enumeration Date | 10/29/2018 |
| Last Update Date | 10/29/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265909287 | NPI | - | NPPES |
| 717325 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Secondary |
| 251B00000X | Case Management | (* (Not Available)) | Primary |
Legacy Behavioral Health Center Inc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 15818 Sw Warfield Blvd, Indiantown, FL 34956 Phone: 772-597-0411 Fax: 772-597-0412 |