| NPI | 1114991544 |
|---|---|
| Doing Business As | DOUGLAS GARDENS CMHC |
| Entity Type | Organization |
| Authorized Contact | LARRY J LONG CFO 305-531-5341 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X (Licence: FL KH909) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL KH909) |
| 251B00000X Case Management (Licence: FL KH909) | |
| 251S00000X Community/Behavioral Health | |
| 310500000X Intermediate Care Facility, Mental Illness (Licence: FL KH909) | |
| Enumeration Date | 2006-02-14 |
| Last Update Date | 2018-08-15 |