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1083111827
THE SOURCE FL
OAKLAND PARK, FL
NPI
1083111827
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Entity Type
Organization
Authorized Contact
MARK KORCOK
President
954-288-2555
Organization Subpart ?
No
Primary Taxonomy
324500000X Substance Abuse Rehabilitation Facility
Enumeration Date
2018-04-09
Last Update Date
2018-08-17
Business Address
THE SOURCE FL
1730 E COMMERCIAL BLVD
OAKLAND PARK, FL 33334-5721
Phone number: 954-288-2555
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Mailing Address
THE SOURCE FL
1730 E COMMERCIAL BLVD
OAKLAND PARK, FL 33334-5721
Phone number: 954-288-2555
Copy
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