NPI 1417330960

First Impressions Cummunity Development Corp.

Organisation Emotionally Disturbed Childrens' Residential Treatment Facility Miami Gardens, FL

Practice location

Address: 20101 NW 34th CT, Miami Gardens, FL 33056-1768
Phone: (305) 525-7946
Fax: (305) 620-1614

Authorised official

Name: Shataria Bridges-Moss
Title: Owner
Phone: (305) 525-7946

Registered specialties (3)

Emotionally Disturbed Childrens' Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 322D00000X

Other Residential Treatment Facility, Emotionally Disturbed Children providers in Florida →

Adult Day Care Clinic/Center

Ambulatory Health Care Facilities Taxonomy 261QA0600X

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Intellectual and/or Developmental Disabilities Residential Treatment Facility

Residential Treatment Facilities Taxonomy 320600000X

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Registry record

NPI: 1417330960
Entity type: Organization
NPI issued: 1 Jul 2015
Record last updated: 1 Jul 2015

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.