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NPI Code Detail

MEDICARE: CFSATC, INC.

MEDICARE: CFSATC, INC.
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
1251S00000XCommunity/Behavioral Health Agency

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1811450620
Entity Type Code : Organization
Provider Name (Legal Business Name) : CFSATC, INC.
Provider Business Mailing Address
First Line : 3181 DAVIE BLVD
Second Line :
City : FORT LAUDERDALE
State : FL
Zip : 33312-2728
Country : US
Telephone Number : 954-533-1670
Fax Number : 954-368-4645
Provider Business Practice Location Address
First Line : 3181 DAVIE BLVD
Second Line :
City : FORT LAUDERDALE
State : FL
Zip : 33312-2728
Country : US
Telephone Number : 954-533-1670
Fax Number : 954-368-4645
Authorized Official
Title or Position : REGIONAL DIRECTOR
Name : MR. DAVE KNEESSY
Credential : MS, MAC, MCAP, LMHC
Telephone Number : 321-951-9750
Provider Enumeration Date : 04/09/2019
Last Update Date : 05/19/2020

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Directions to “CFSATC, INC. ” Practice Location

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