Organization
DAESA BEHAVIOR HEALTH INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FABIO ALBERTO MARTE (PRESIDENT)
(786) 955-5744
Entity
Organization
Contact information
Practice address
17325 NW 27TH AVE STE 111, MIAMI GARDENS, FL 33056-4000
(786) 955-5744
Mailing address
17325 NW 27TH AVE STE 111, MIAMI GARDENS, FL 33056-4000
(786) 955-5744
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
251S00000X
Community/Behavioral Health Agency
—
—
Other
Enumeration date
08/01/2019
Last updated
12/16/2020
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