Provider Demographics
NPI:1407190374
Name:PSYCHIATRIC CARE LLC
Entity Type:Organization
Organization Name:PSYCHIATRIC CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:ALKA
Authorized Official - Middle Name:
Authorized Official - Last Name:SINGAL
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:954-252-2844
Mailing Address - Street 1:1135 NW 139TH AVE
Mailing Address - Street 2:
Mailing Address - City:PEMBROKE PINES
Mailing Address - State:FL
Mailing Address - Zip Code:33028-2339
Mailing Address - Country:US
Mailing Address - Phone:954-252-2844
Mailing Address - Fax:
Practice Address - Street 1:4801 S UNIVERSITY DRIVE
Practice Address - Street 2:SUITE #201
Practice Address - City:DAVIE
Practice Address - State:FL
Practice Address - Zip Code:33328
Practice Address - Country:US
Practice Address - Phone:954-252-2844
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-11-16
Last Update Date:2012-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health