Organization
GRE HAVEN THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. GALIA PUPO (PRESIDENT)
(786) 307-1352
Entity
Organization
Contact information
Practice address
1800 SW 27TH AVE STE 200, MIAMI, FL 33145-2455
(786) 409-5618
(786) 409-5492
Mailing address
1800 SW 27TH AVE STE 200, MIAMI, FL 33145-2455
(786) 409-5618
(786) 409-5492
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
11/16/2021
Last updated
11/16/2021
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