DEVELOPING ASSISTANCE TO A VAST INNOVATIVE SOCIETY COMMUNITY DEVELOPME NPI 1518516046

NPI Information

NPI: 1518516046
Provider Name: DEVELOPING ASSISTANCE TO A VAST INNOVATIVE SOCIETY COMMUNITY DEVELOPME
Classification: Counselor - 101YA0400X
Entity Type: Organization

Specialization: Addiction (Substance Use Disorder)

CLIA Number: 10D2284430

Address:
1780 NW 36TH TER
LAUDERHILL, FL
ZIP 33311
Phone: (954) 669-0209
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DEVELOPING ASSISTANCE TO A VAST INNOVATIVE SOCIETY COMMUNITY DEVELOPME is an addiction (substance use disorder) counselor in Lauderhill, FL. DEVELOPING ASSISTANCE TO A VAST INNOVATIVE SOCIETY COMMUNITY DEVELOPME NPI is 1518516046. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1780 NW 36TH TER
LAUDERHILL, FL
ZIP 33311-128
Phone: (954) 669-0209

The provider's authorized official is Adriene Alisha Cox .
The authorized official title is Executive Director and has the following contact phone number (954) 669-0209.

The CLIA number assigned to this NPI record is 10D2284430 - mobile laboratory with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/6/2019 and was last updated on 9/6/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	Primary
1	106S00000X	Behavior Technician		No
2	172V00000X	Community Health Worker		No
3	174200000X	Meals		No
4	251J00000X	Nursing Care		No
5	251S00000X	Community/Behavioral Health		No
6	252Y00000X	Early Intervention Provider Agency		No
7	253J00000X	Foster Care Agency		No
8	273Y00000X	Rehabilitation Unit		No
9	3245S0500X	Substance Abuse Rehabilitation Facility	Substance Abuse Treatment, Children	No
10	101YA0400X	Counselor	Addiction (Substance Use Disorder)	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	NONE	OTHER	FLORIDA	NONE
2	812381689	OTHER	FLORIDA	IRS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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