| Organization Name: | HIBISCUS CHILDRENS CENTER |
| NPI Number: | 1356646921 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | CHERON BUTLER (PSYCHOTHERAPIST) |
| Mailing Address: | 5091 E Portofino Landings Blvd Unit 201 Fort Pierce |
| State: | FL US |
| Postal Code: | 349475444 |
| Phone Number: | 7728824074 |
| Fax Number: | |
| NPI Enumeration Date: | 01/12/2011 |
| NPI Last Update Date: | 01/12/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 251K00000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Agencies |
| Taxonomy Classification: | Public Health or Welfare |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |