Henderson Behavioral Health, INC.
Psychiatric Hospital in Fort Lauderdale, FL. Organization (NPI-2).
NPI number1962074005
StatusActive
Last updated in NPPESJul 16, 2021
Details
- NPI
- 1962074005
- Entity type
- Organization (NPI-2)
- Legal business name
- Henderson Behavioral Health, INC.
- Organization subpart
- No
- Enumeration date
- Jul 16, 2021
- Certification date
- Jul 16, 2021
- Last updated
- Jul 16, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 283Q00000X | Psychiatric Hospital | – | – | Yes |
| 273R00000X | Psychiatric Unit | – | – |
Practice location
330 Sw 27th AveFort Lauderdale, FL 33312-2051
Phone 954-497-3856 · Fax 954-497-3857
Mailing address
4740 N State Road 7 Ste 201Lauderdale Lakes, FL 33319-5839
Phone 954-497-3856 · Fax 954-497-3857
Authorized official
Carol Loman
Firector Of Billing And Scheduling
9544973856
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