# BRAIN & BEHAVIORAL INSTITUTE OF SOUTH FLORIDA INC

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

## Provider details

- **NPI number:** 1700548062
- **Authorized official:** WILLIAMS JOSE LUCENA (AUTHORIZED OFFICIAL)
- **Authorized official phone:** (305) 778-6795

## Contact information

- **Practice address:** 1801 CORAL WAY STE 327, MIAMI, FL 33145-2784
- **Practice address phone:** (786) 866-5914
- **Mailing address:** 1801 CORAL WAY STE 327, MIAMI, FL 33145-2784
- **Mailing address phone:** (786) 866-5914

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251B00000X | Case Management Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 10/13/2021
- **Last updated:** 10/13/2021

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | MH806 | LICENSE | FL |