Provider Demographics
NPI:1568995926
Name:GET WELL TRANSITIONAL HOUSING FOR WOMAN, INC
Entity Type:Organization
Organization Name:GET WELL TRANSITIONAL HOUSING FOR WOMAN, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:JUDY
Authorized Official - Middle Name:
Authorized Official - Last Name:NELSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:470-435-1329
Mailing Address - Street 1:3424 NW 29TH ST
Mailing Address - Street 2:
Mailing Address - City:LAUDERDALE LAKES
Mailing Address - State:FL
Mailing Address - Zip Code:33311-1896
Mailing Address - Country:US
Mailing Address - Phone:470-435-1329
Mailing Address - Fax:
Practice Address - Street 1:3424 NW 29TH ST
Practice Address - Street 2:
Practice Address - City:LAUDERDALE LAKES
Practice Address - State:FL
Practice Address - Zip Code:33311-1896
Practice Address - Country:US
Practice Address - Phone:470-435-1329
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-04-04
Last Update Date:2017-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0405XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation, Substance Use Disorder