Healthcare Provider Details

I. General information

NPI: 1548585524
Provider Name (Legal Business Name): ORGANIZATION FOR FAMILY IMPROVEMENT
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/01/2010
Last Update Date: 08/24/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10800 NORTH MILITAIRY TRAIL SUITE 223
PALM BEACH GARDENS FL
33410
US

IV. Provider business mailing address

10800 NORTH MILITAIRY TRAIL SUITE 223
PALM BEACH GARDENS FL
33410
US

V. Phone/Fax

Practice location:
  • Phone: 561-856-1738
  • Fax: 561-630-0193
Mailing address:
  • Phone: 561-856-1738
  • Fax: 561-630-0193

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code103T00000X
TaxonomyPsychologist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code104100000X
TaxonomySocial Worker
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number State
# 5
Primary TaxonomyY
Taxonomy Code172V00000X
TaxonomyCommunity Health Worker
License Number
License Number State
# 6
Primary TaxonomyN
Taxonomy Code2084P0804X
TaxonomyChild & Adolescent Psychiatry Physician
License Number
License Number State
# 7
Primary TaxonomyN
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number State

VIII. Authorized Official

Name: MRS. EMELYNE SMITH
Title or Position: CEO
Credential:
Phone: 561-856-1738