# DREAM TEAM GROUP HOME, INC

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

## Provider details

- **NPI number:** 1841696929
- **Authorized official:** MISS CYNTHIA GAY (OWNER AND DIRECTOR)
- **Authorized official phone:** (305) 609-1258

## Contact information

- **Practice address:** 3653 NW 4TH TER, MIAMI, FL 33125-4073
- **Practice address phone:** (305) 609-1258
- **Practice address fax:** (866) 490-1272
- **Mailing address:** 3653 NW 4TH TER, MIAMI, FL 33125-4073
- **Mailing address phone:** (305) 609-1258
- **Mailing address fax:** (866) 490-1272

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 320600000X | Intellectual and/or Developmental Disabilities Residential Treatment Facility | 11-954-GH | FL | Yes |

## Other

- **Enumeration date:** 11/17/2014
- **Last updated:** 11/17/2014

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 003237800 | — | FL |