Provider Demographics
NPI:1689810947
Name:THE ARBOUR COMMUNITY MENTAL HEALTH CENTER
Entity Type:Organization
Organization Name:THE ARBOUR COMMUNITY MENTAL HEALTH CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ELISA
Authorized Official - Middle Name:
Authorized Official - Last Name:GRABOIS
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:954-302-7492
Mailing Address - Street 1:850 W DANIA BEACH BLVD
Mailing Address - Street 2:
Mailing Address - City:DANIA BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33004-3330
Mailing Address - Country:US
Mailing Address - Phone:954-302-7492
Mailing Address - Fax:954-926-0388
Practice Address - Street 1:850 W DANIA BEACH BLVD
Practice Address - Street 2:
Practice Address - City:DANIA BEACH
Practice Address - State:FL
Practice Address - Zip Code:33004-3330
Practice Address - Country:US
Practice Address - Phone:954-302-7492
Practice Address - Fax:954-926-0388
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-12-16
Last Update Date:2008-12-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health