Rivergate Family Resource Center, LLC.
Counselor, Mental Health in Tamarac, FL. Organization (NPI-2).
NPI number1982102646
StatusActive
Last updated in NPPESJan 29, 2018
Details
- NPI
- 1982102646
- Entity type
- Organization (NPI-2)
- Legal business name
- Rivergate Family Resource Center, LLC.
- Organization subpart
- No
- Enumeration date
- Jan 29, 2018
- Last updated
- Jan 29, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YM0800X | Counselor, Mental Health | – | – | Yes |
Practice location
7481 W Oakland Park Blvd Ste 308dTamarac, FL 33319-4961
Phone 754-400-5407
Mailing address
7481 W Oakland Park Blvd Ste 308dTamarac, FL 33319-4961
Authorized official
Kyriaki Roberts
Provider
7544005407
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