Provider Demographics
NPI:1396118899
Name:BROWARD BEHAVIORAL AND COMMUNITY SERVICES, INC
Entity type:Organization
Organization Name:BROWARD BEHAVIORAL AND COMMUNITY SERVICES, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:ANGEL
Authorized Official - Middle Name:
Authorized Official - Last Name:CASOLA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:954-744-4182
Mailing Address - Street 1:9050 PINES BOULEVARD SUITE 205
Mailing Address - Street 2:
Mailing Address - City:PEMBROKE PINES
Mailing Address - State:FL
Mailing Address - Zip Code:33024
Mailing Address - Country:US
Mailing Address - Phone:954-744-4182
Mailing Address - Fax:954-842-2913
Practice Address - Street 1:9050 PINES BOULEVARD SUITE 205
Practice Address - Street 2:
Practice Address - City:PEMBROKE PINES
Practice Address - State:FL
Practice Address - Zip Code:33024
Practice Address - Country:US
Practice Address - Phone:954-744-4182
Practice Address - Fax:954-842-2913
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-11-05
Last Update Date:2024-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty
No251B00000XAgenciesCase ManagementGroup - Single Specialty
No251S00000XAgenciesCommunity/Behavioral Health