Fenix Counseling Center, INC
Community/Behavioral Health in Plantation, FL. Organization (NPI-2).
NPI number1326428814
StatusActive
Last updated in NPPESJun 1, 2015
Details
- NPI
- 1326428814
- Entity type
- Organization (NPI-2)
- Legal business name
- Fenix Counseling Center, INC
- Organization subpart
- No
- Enumeration date
- Jun 1, 2015
- Last updated
- Jun 1, 2015
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 251S00000X | Community/Behavioral Health | mh7884 | FL | Yes |
| 302R00000X | Health Maintenance Organization | mh7884 | FL | |
| 305R00000X | Preferred Provider Organization | mh7884 | FL | |
| 305S00000X | Point of Service | mh7884 | FL |
Practice location
8201 Peters RdSuite 1000
Plantation, FL 33324-3265
Phone 954-916-2618
Mailing address
8201 Peters RdSuite 1000
Plantation, FL 33324-3265
Phone 954-916-2618
Authorized official
Cristobal J Gonzalez
President
3057886553
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