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2045 N University Dr Sunrise FL 33322-3936 | |
| (954) 947-8732 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 2045 N University Dr, Sunrise, Florida |
| Authorized Official Name and Position | Jessica A Watkins (CEO) |
| Authorized Official Contact | 5612134103 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
2045 N University Dr Sunrise FL 33322-3936 Ph: () - | 2045 N University Dr Sunrise FL 33322-3936 Ph: (954) 947-8732 |
| NPI Number | 1518478940 |
|---|---|
| Provider Enumeration Date | 10/12/2017 |
| Last Update Date | 12/12/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518478940 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Primary |
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