Healthcare Provider Details

I. General information

NPI: 1891898367
Provider Name (Legal Business Name): CENTER FOR CHILD DEVELOPMENT
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/07/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5325 GREENWOOD AVE SUITE 201
WEST PALM BEACH FL
33407-2452
US

IV. Provider business mailing address

5325 GREENWOOD AVE SUITE 201
WEST PALM BEACH FL
33407-2452
US

V. Phone/Fax

Practice location:
  • Phone: 561-881-2822
  • Fax: 561-881-0972
Mailing address:
  • Phone: 561-881-2822
  • Fax: 561-881-0972

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number State

VIII. Authorized Official

Name: MRS. PATRICIA MORRIS CHAPMAN
Title or Position: SOCIAL WORKER/CASE MANAGER
Credential: BSW
Phone: 561-840-6660