Mid-Atlantic Bureau of Recovery and Sobriety

Primary specialty

Case Management AgencyTaxonomy code 251B00000X

License

SW12345 Issued in FL

Legal business name

MID-ATLANTIC BUREAU OF RECOVERY AND SOBRIETY

Practice address

3212 SE 7TH St
Pompano Beach, FL 33062-6239

Phone

(954) 942-7407

NPI assigned

Apr 14, 2017

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Judine Hitchmon, LCSW

Title

Director of Clinical

Phone

(202) 779-8655

Specialties & licenses 7

Addresses

Other identifiers 1

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1492128000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1494288000000",
    "number": "1659805828",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3212 SE 7TH ST",
            "city": "POMPANO BEACH",
            "state": "FL",
            "postal_code": "330626239",
            "telephone_number": "954-942-7407"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3212 SE 7TH ST",
            "city": "POMPANO BEACH",
            "state": "FL",
            "postal_code": "330626239",
            "telephone_number": "954-942-7407"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MID-ATLANTIC BUREAU OF RECOVERY AND SOBRIETY",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-14",
        "last_updated": "2017-05-09",
        "status": "A",
        "authorized_official_last_name": "HITCHMON",
        "authorized_official_first_name": "JUDINE",
        "authorized_official_title_or_position": "DIRECTOR OF CLINICAL",
        "authorized_official_telephone_number": "202-779-8655",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "FL",
            "license": "SW12345",
            "primary": true
        },
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "FL",
            "license": "SW12345",
            "primary": false
        },
        {
            "code": "3104A0630X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility, Assisted Living, Behavioral Disturbances",
            "state": "FL",
            "license": "SW12345",
            "primary": false
        },
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "FL",
            "license": "SW12345",
            "primary": false
        },
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "FL",
            "license": "SW12345",
            "primary": false
        },
        {
            "code": "322D00000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Emotionally Disturbed Children",
            "state": "FL",
            "license": "SW12345",
            "primary": false
        },
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "FL",
            "license": "SW12345",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NON MEDICARE",
            "identifier": "593641757",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Case Management Agency in Pompano Beach, FL
• Providers in Pompano Beach, FL by specialty
• Case Management Agency in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.