Healthcare Provider Details

I. General information

NPI: 1184844813
Provider Name (Legal Business Name): PROJECT TOUCH, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/26/2007
Last Update Date: 09/27/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6741 PEMBROKE RD
PEMBROKE PINES FL
33023-2143
US

IV. Provider business mailing address

6741 PEMBROKE RD
PEMBROKE PINES FL
33023-2143
US

V. Phone/Fax

Practice location:
  • Phone: 954-391-6080
  • Fax: 954-391-6081
Mailing address:
  • Phone: 954-391-6080
  • Fax: 954-391-6081

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code322D00000X
TaxonomyEmotionally Disturbed Childrens' Residential Treatment Facility
License Number
License Number StateNULL
# 2
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number StateNULL

VIII. Authorized Official

Name: DR. SHERRON PARRISH
Title or Position: CEO
Credential:
Phone: 305-926-1107