| Corebridge 17 Foundation, Inc. | |
|
6047 Kimberly Blvd Ste N North Lauderdale FL 33068-2820 | |
| (954) 592-5065 | |
| Not Available |
| Full Name | Corebridge 17 Foundation, Inc. |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 6047 Kimberly Blvd Ste N, North Lauderdale, Florida |
| Authorized Official Name and Position | Chanel Jeanty (CEO) |
| Authorized Official Contact | 9545925065 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Corebridge 17 Foundation, Inc. 6047 Kimberly Blvd Ste N North Lauderdale FL 33068-2820 Ph: (954) 547-4346 | Corebridge 17 Foundation, Inc. 6047 Kimberly Blvd Ste N North Lauderdale FL 33068-2820 Ph: (954) 592-5065 |
| NPI Number | 1184506008 |
|---|---|
| Provider Enumeration Date | 07/22/2025 |
| Last Update Date | 07/22/2025 |
| Certification Date | 07/22/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184506008 | NPI | - | NPPES |
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