Organization · NPI-2
Boys & Girls Clubs Of Broward County Health Services
Clinic/Center, Mental Health (Including Community Mental Health Center) · North Lauderdale, FL
NPI number1366378481
StatusActive
Last updated in NPPESJun 18, 2026
Details
- NPI
- 1366378481
- Entity type
- Organization (NPI-2)
- Legal business name
- Boys & Girls Clubs Of Broward County Health Services
- Organization subpart
- No
- Enumeration date
- Jun 18, 2026
- Certification date
- Jun 16, 2026
- Last updated
- Jun 18, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QM0801X | Clinic/Center, Mental Health (Including Community Mental Health Center) | – | – | Yes |
| 251B00000X | Case Management | – | – | |
| 251S00000X | Community/Behavioral Health | – | – | |
| 261QM0855X | Clinic/Center, Adolescent and Children Mental Health | – | – |
Practice location
7201 Kimberly BlvdNorth Lauderdale, FL 33068-2336
Phone 954-537-1010
Mailing address
7201 Kimberly BlvdNorth Lauderdale, FL 33068-2336
Authorized official
Matt Organ
Ceo
9545371010
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.