Hendry-Glades Mental Health Clinic, Inc.

NPI #1588758478 in Clewiston, Florida

Provider Information

NPI Number: 1588758478
Entity Type: Organization
Organization Name: Hendry-Glades Mental Health Clinic, Inc.
Primary Specialty: Clinic/Center - Mental Health (Including Community Mental Health Center)
Enumeration Date: Oct 3, 2006
Last Updated: Dec 17, 2009

Practice Location

Address: 601 W ALVERDEZ AVE
City: Clewiston
State: Florida
ZIP Code: 33440-3504
Phone: (863) 983-1423

Authorized Official

Name: MR. JOSEPH F. HOSICK JR., MPA/CBHE
Title: CEO / CFO
Phone: (863) 983-1423

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Mental Health (Including Community Mental Health Center) — Mental Health (Including Community Mental Health Center)	261QM0801X	Primary

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