NPI 1043287097

Impact Community Services, INC.

Organisation Emotionally Disturbed Childrens' Residential Treatment Facility Lauderhill, FL

Practice location

Address: 5631 NW 27th CT, Lauderhill, FL 33313-2397
Phone: (954) 640-0340
Fax: (954) 640-0344

Authorised official

Name: Paul Schauber
Title: Executive Director
Phone: (954) 640-0340

Registered specialties

Emotionally Disturbed Childrens' Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 322D00000X

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Registry record

NPI: 1043287097
Entity type: Organization
NPI issued: 8 Mar 2006
Record last updated: 22 Aug 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.