# GREEN CROSS CLINIC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1114599529
- **Authorized official:** ALESSANDRO MORIYON (DIRECTOR)
- **Authorized official phone:** (786) 239-2051

## Contact information

- **Practice address:** 10511 N KENDALL DR STE D203, MIAMI, FL 33176-1535
- **Practice address phone:** (786) 542-0049
- **Practice address fax:** (786) 542-0200
- **Mailing address:** 10511 N KENDALL DR STE D203, MIAMI, FL 33176-1535
- **Mailing address phone:** (786) 542-0049
- **Mailing address fax:** (786) 542-0200

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251B00000X | Case Management Agency | — | NULL | Yes |
| 251S00000X | Community/Behavioral Health Agency | — | NULL | — |

## Other

- **Enumeration date:** 07/14/2021
- **Last updated:** 07/14/2021

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 101919200 | — | FL |