Organization
SPORTS KONNECT INC.
Active
Other names
Sports Konnect Youth Move
Organization subpart
No
Provider details
NPI number
Authorized official
DEVIN A BROWNE (OWNER)
(786) 382-3014
Entity
Organization
Contact information
Practice address
2103 CORAL WAY FL 2, CORAL GABLES, FL 33145-2601
(786) 235-8030
Mailing address
2103 CORAL WAY FL 2, CORAL GABLES, FL 33145-2601
(786) 235-8030
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
03/05/2020
Last updated
03/16/2020
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