Provider Demographics
NPI:1558631754
Name:SYSTEM SOLUTIONS FOR CHILDREN LLC
Entity Type:Organization
Organization Name:SYSTEM SOLUTIONS FOR CHILDREN LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:PATRICIA
Authorized Official - Middle Name:DIANNE
Authorized Official - Last Name:BABCOCK
Authorized Official - Suffix:
Authorized Official - Credentials:PHD, LCSW
Authorized Official - Phone:850-525-9295
Mailing Address - Street 1:293 PLANTATION HILL RD
Mailing Address - Street 2:
Mailing Address - City:GULF BREEZE
Mailing Address - State:FL
Mailing Address - Zip Code:32561-4861
Mailing Address - Country:US
Mailing Address - Phone:850-525-9295
Mailing Address - Fax:850-934-9188
Practice Address - Street 1:293 PLANTATION HILL RD
Practice Address - Street 2:
Practice Address - City:GULF BREEZE
Practice Address - State:FL
Practice Address - Zip Code:32561
Practice Address - Country:US
Practice Address - Phone:850-525-9295
Practice Address - Fax:850-934-9188
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-01-04
Last Update Date:2012-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSW 6831251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health