| Kids In Distress Inc | |
|
819 Ne 26th St Wilton Manors FL 33305-1239 | |
| (954) 390-7654 | |
| (954) 567-5636 |
| Full Name | Kids In Distress Inc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 819 Ne 26th St, Wilton Manors, Florida |
| Authorized Official Name and Position | Mark Dhooge (PRESIDENT CEO) |
| Authorized Official Contact | 9543907654 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kids In Distress Inc 819 Ne 26th St Wilton Manors FL 33305-1239 Ph: (954) 390-7654 | Kids In Distress Inc 819 Ne 26th St Wilton Manors FL 33305-1239 Ph: (954) 390-7654 |
| NPI Number | 1033204946 |
|---|---|
| Provider Enumeration Date | 10/04/2006 |
| Last Update Date | 09/12/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033204946 | NPI | - | NPPES |
| 029966900 | Medicaid | FL |
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Kids In Distress Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 819 Ne 26th St, Wilton Manors, FL 33305 Phone: 954-390-7654 |