Provider Demographics
NPI:1225085343
Name:M.A.D. FOR YOU INC
Entity Type:Organization
Organization Name:M.A.D. FOR YOU INC
Other - Org Name:MAKING A DIFFERENCE FOR YOU, INC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:MARGRET ROSE
Authorized Official - Middle Name:CAMILLE
Authorized Official - Last Name:DELLOSSO
Authorized Official - Suffix:
Authorized Official - Credentials:PSYD
Authorized Official - Phone:954-435-3683
Mailing Address - Street 1:1900 N UNIVERSITY DR STE 103
Mailing Address - Street 2:
Mailing Address - City:PEMBROKE PINES
Mailing Address - State:FL
Mailing Address - Zip Code:33024-3618
Mailing Address - Country:US
Mailing Address - Phone:954-435-3683
Mailing Address - Fax:954-435-2263
Practice Address - Street 1:1900 N UNIVERSITY DR STE 103
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:954-435-3683
Practice Address - Fax:954-435-2263
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-27
Last Update Date:2018-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)