| Florida Youth Services South | |
|
4515 N State Road 7 Lauderdale Lakes FL 33319-5883 | |
| (954) 822-4891 | |
| Not Available |
| Full Name | Florida Youth Services South |
|---|---|
| Speciality | Case Management |
| Location | 4515 N State Road 7, Lauderdale Lakes, Florida |
| Authorized Official Name and Position | Stephan Benson (CEO) |
| Authorized Official Contact | 9548224891 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Florida Youth Services South 4420 Nw 15th St Lauderhill FL 33313-5621 Ph: (954) 822-4891 | Florida Youth Services South 4515 N State Road 7 Lauderdale Lakes FL 33319-5883 Ph: (954) 822-4891 |
| NPI Number | 1629431879 |
|---|---|
| Provider Enumeration Date | 04/04/2016 |
| Last Update Date | 04/04/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629431879 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Secondary |
| 251B00000X | Case Management | (* (Not Available)) | Primary |
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