Organization
KRISTI HOUSE, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CLAUDIA KITCHENS (EXECUTIVE DIRECTOR)
(305) 547-6836
Entity
Organization
Contact information
Practice address
1265 NW 12TH AVE, MIAMI, FL 33136-2140
(305) 547-6800
(305) 547-6848
Mailing address
1265 NW 12TH AVE, MIAMI, FL 33136-2140
(305) 547-6800
(305) 547-6848
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
070845300
—
FL
05
—
070845304
—
FL
Enumeration date
01/09/2006
Last updated
02/24/2016
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