Provider Demographics
NPI:1144386343
Name:POSITIVE SOLUTIONS
Entity Type:Organization
Organization Name:POSITIVE SOLUTIONS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:DWIGHT
Authorized Official - Last Name:CAMPBELL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-308-6102
Mailing Address - Street 1:1284 SE NAVAJO LN
Mailing Address - Street 2:
Mailing Address - City:PORT ST LUCIE
Mailing Address - State:FL
Mailing Address - Zip Code:34983-3179
Mailing Address - Country:US
Mailing Address - Phone:305-308-6102
Mailing Address - Fax:772-621-4866
Practice Address - Street 1:1284 SE NAVAJO LN
Practice Address - Street 2:
Practice Address - City:PORT ST LUCIE
Practice Address - State:FL
Practice Address - Zip Code:34983-3179
Practice Address - Country:US
Practice Address - Phone:305-308-6102
Practice Address - Fax:772-621-4866
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-29
Last Update Date:2008-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL691239798Medicaid
FL691239796Medicaid