Organization
C.D.A. SERVICEABILITY TRUST INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LISSA TORRES (CEO)
(786) 395-4900
Entity
Organization
Contact information
Practice address
11025 SW 84TH ST STE 9, MIAMI, FL 33173-3856
(305) 971-1230
Mailing address
9290 SW 66TH ST, MIAMI, FL 33173-2310
(786) 395-4900
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
261QD1600X
Developmental Disabilities Clinic/Center
—
—
261QM1300X
Multi-Specialty Clinic/Center
—
—
Other
Enumeration date
05/30/2024
Last updated
05/30/2024
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