Provider Demographics
NPI:1235703497
Name:THE SYLVIA BRAFMAN MENTAL HEALTH CENTER
Entity Type:Organization
Organization Name:THE SYLVIA BRAFMAN MENTAL HEALTH CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO / CO-FOUNDER
Authorized Official - Prefix:MR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:K
Authorized Official - Last Name:BLAUSTEIN
Authorized Official - Suffix:
Authorized Official - Credentials:MBA
Authorized Official - Phone:954-495-4020
Mailing Address - Street 1:7710 NW 71ST CT
Mailing Address - Street 2:
Mailing Address - City:TAMARAC
Mailing Address - State:FL
Mailing Address - Zip Code:33321-2973
Mailing Address - Country:US
Mailing Address - Phone:954-805-0177
Mailing Address - Fax:
Practice Address - Street 1:7710 NW 71ST CT STE 101
Practice Address - Street 2:
Practice Address - City:TAMARAC
Practice Address - State:FL
Practice Address - Zip Code:33321-2930
Practice Address - Country:US
Practice Address - Phone:754-205-7619
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-05-13
Last Update Date:2023-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health