NPI | 1396253027 |
---|---|
Doing Business As | AMETHYST AGENCY OF BROWARD |
Entity Type | Organization |
Authorized Contact | SANDRA K LANGE CEO/ President 954-401-5675 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Additional Taxonomies | 251S00000X Community/Behavioral Health |
261QM0850X Clinic/Center, Adult Mental Health | |
Enumeration Date | 2018-01-16 |
Last Update Date | 2023-12-18 |