COVENANT HOUSE FLORIDA, INC.
Residential Treatment Facilities at Breakers Ave, Fort Lauderdale, FL

License number
Florida 1006AD360701
Category
Residential Treatment Facilities
Type
Substance Abuse Rehabilitation Facility
Owner
Name: MR. JAMES GRESS
Title: EXECUTIVE DIRECTOR
Phone: (954) 568-7925
Address
Address
733 Breakers Ave, Fort Lauderdale, FL 33304
National Provider ID: 1538333778
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

See more information about COVENANT HOUSE FLORIDA, INC. at bizstanding.com

COVENANT HOUSE FLORIDA, INC

733 Breakers Ave, Fort Lauderdale, FL 33304

Status:
Inactive
Industry:
Individual/Family Services Residential Care Services
Inactive reason:
NAME CHANGE AMENDMENT
Registration:
Mar 2, 1983
Inactive since:
Jul 1, 1986
Phone:
(954) 561-5559 (Phone)
State ID:
767249
Business type:
Florida Not For Profit Corporation
Chairman, Vice Presidents:
James M Gress (Secretary, Director), 733 Breakers Ave, Fort Lauderdale, FL 33304 (Physical),Leonard Bass, 813 Spg Is Way, Orlando, FL 32828 (Physical),Carmenza M. Gonzalez (Director),...
Agent:
James Gress,733 Breakers Ave, Fort Lauderdale, FL 33304 (Physical)
EIN:
592323607

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