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NPI Code Detail

MEDICARE: ALABASTER CENTER, LLC

MEDICARE: ALABASTER CENTER, LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11041C0700XClinical Social WorkerSW14610FL

General Provider Information

NPI Number : 1144710237
Entity Type Code : Organization
Provider Name (Legal Business Name) : ALABASTER CENTER, LLC
Provider Business Mailing Address
First Line : 130 S UNIVERSITY DR STE C
Second Line :
City : PLANTATION
State : FL
Zip : 33324-3329
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 130 S UNIVERSITY DR STE C
Second Line :
City : PLANTATION
State : FL
Zip : 33324-3329
Country : US
Telephone Number : 954-530-4526
Fax Number :
Authorized Official
Title or Position : CEO
Name : ANA NEWMAN
Credential : LCSW
Telephone Number : 954-559-0809
Provider Enumeration Date : 05/14/2018
Last Update Date : 05/14/2018

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Directions to “ALABASTER CENTER, LLC ” Practice Location

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