Provider Demographics
NPI: | 1962974428 |
---|---|
Name: | CHILDREN FIRST COMMUNITY HOMES AND SERVICES, INC |
Entity type: | Organization |
Organization Name: | CHILDREN FIRST COMMUNITY HOMES AND SERVICES, INC |
Other - Org Name: | <UNAVAIL> |
Other - Org Type: | |
Authorized Official - Title/Position: | DIRECTOR |
Authorized Official - Prefix: | |
Authorized Official - First Name: | CHANDELINE |
Authorized Official - Middle Name: | |
Authorized Official - Last Name: | BUTLER |
Authorized Official - Suffix: | |
Authorized Official - Credentials: | |
Authorized Official - Phone: | 954-509-3787 |
Mailing Address - Street 1: | 7401 WILES RD STE 218 |
Mailing Address - Street 2: | |
Mailing Address - City: | CORAL SPRINGS |
Mailing Address - State: | FL |
Mailing Address - Zip Code: | 33067-2036 |
Mailing Address - Country: | US |
Mailing Address - Phone: | 954-509-3787 |
Mailing Address - Fax: | 954-653-1328 |
Practice Address - Street 1: | 3000 N UNIVERSITY DR STE 2F |
Practice Address - Street 2: | |
Practice Address - City: | CORAL SPRINGS |
Practice Address - State: | FL |
Practice Address - Zip Code: | 33065-5055 |
Practice Address - Country: | US |
Practice Address - Phone: | 954-775-0113 |
Practice Address - Fax: | 954-654-1328 |
EIN: | <UNAVAIL> |
Is Organization Subpart?: | Yes |
Parent Organization LBN: | CHILDREN FIRST COMMUNITY HOMES AND SERVICES, INC |
Parent Organization TIN: | <UNAVAIL> |
Enumeration Date: | 2018-12-21 |
Last Update Date: | 2025-03-07 |
Deactivation Date: | |
Deactivation Code: | |
Reactivation Date: |
Provider Taxonomies
Primary? | Code | Type | Classification | Specialization | Group |
---|---|---|---|---|---|
Yes | 261QM0801X | Ambulatory Health Care Facilities | Clinic/Center | Mental Health (Including Community Mental Health Center) | |
No | 101YA0400X | Behavioral Health & Social Service Providers | Counselor | Addiction (Substance Use Disorder) | Group - Multi-Specialty |
No | 101YM0800X | Behavioral Health & Social Service Providers | Counselor | Mental Health | Group - Multi-Specialty |
No | 103K00000X | Behavioral Health & Social Service Providers | Behavior Analyst | Group - Multi-Specialty | |
No | 106H00000X | Behavioral Health & Social Service Providers | Marriage & Family Therapist | Group - Multi-Specialty | |
No | 106S00000X | Behavioral Health & Social Service Providers | Behavior Technician | Group - Multi-Specialty | |
No | 2084P0800X | Allopathic & Osteopathic Physicians | Psychiatry & Neurology | Psychiatry | Group - Multi-Specialty |
No | 251B00000X | Agencies | Case Management | Group - Multi-Specialty | |
No | 251C00000X | Agencies | Day Training, Developmentally Disabled Services | ||
No | 251S00000X | Agencies | Community/Behavioral Health | ||
No | 253J00000X | Agencies | Foster Care Agency | ||
No | 253Z00000X | Agencies | In Home Supportive Care | ||
No | 261Q00000X | Ambulatory Health Care Facilities | Clinic/Center | ||
No | 3245S0500X | Residential Treatment Facilities | Substance Abuse Rehabilitation Facility | Substance Abuse Treatment, Children | |
No | 385HR2060X | Respite Care Facility | Respite Care | Respite Care, Intellectual and/or Developmental Disabilities, Child |