THE SOURCE BEHAVIORAL HEALTH, LLC
NPI 1841816204
Clinic/Center - Rehabilitation, Substance Use Disorder in Pompano Beach, FL

Q: What is The Source Behavioral Health, LLC's NPI number?

The NPI number for The Source Behavioral Health, LLC is 1841816204. It was assigned to this organization in the NPPES registry on June 22, 2020.

Q: What is The Source Behavioral Health, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rehabilitation, Substance Use Disorder, with taxonomy code 261QR0405X.

Active since June 22, 2020

150 SW 12TH AVE STE 491, POMPANO BEACH, FL 33069(888) 207-3177 Get Directions Write a Review

NPPES record last updated: September 25, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About The Source Behavioral Health, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

THE SOURCE BEHAVIORAL HEALTH, LLC (NPI 1841816204) is a healthcare organization registered as a rehabilitation, substance use disorder in Pompano Beach, Florida and active in the NPI registry since June 2020. The organization lists Augustine Crocco, Owner/ceo, as its authorized official.

NPPES Registry Identity

NPI1841816204

Entity TypeOrganization

Primary Taxonomy261QR0405X

Legal Business NameTHE SOURCE BEHAVIORAL HEALTH, LLC

Location Address150 SW 12TH AVE STE 491Pompano Beach, FL 33069-3298

Mailing Address6278 North Federal Highway, Pmb 370Fort Lauderdale, FL 33308-1916

Phone(888) 207-3177

Organization SubpartNo

Authorized OfficialAugustine CroccoOwner/ceo · (267) 744-4265

Enumeration DateJune 22, 2020

Last NPPES UpdateSeptember 25, 2023

NPPES CertifiedSeptember 25, 2023

✔ NPI 1841816204 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Rehabilitation, Substance Use DisorderAmbulatory Health Care Facilities

Taxonomy Code261QR0405X

150 SW 12TH AVE STE 491, Pompano Beach, FL 33069

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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is The Source Behavioral Health, LLC's NPI number?

The NPI number for The Source Behavioral Health, LLC is 1841816204. It was assigned to this organization in the NPPES registry on June 22, 2020.

Where is The Source Behavioral Health, LLC located?

The Source Behavioral Health, LLC is located at 150 SW 12th Ave Ste 491, Pompano Beach, FL 33069. The listed phone number is (888) 207-3177.

What is The Source Behavioral Health, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rehabilitation, Substance Use Disorder, with taxonomy code 261QR0405X.

When was this NPI record last updated?

The NPPES record for The Source Behavioral Health, LLC was last updated on September 25, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.