Organization
LONG LIFE BEHAVIORAL SERVICES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS ILEANA ALVAREZ VELAZQUEZ (PRESIDENT)
(786) 660-0886
Entity
Organization
Contact information
Practice address
9050 PINES BLVD STE 355, PEMBROKE PINES, FL 33024-6422
(786) 660-0886
Mailing address
8897 FONTAINEBLEAU BLVD APT 202, MIAMI, FL 33172-4430
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
03/13/2018
Last updated
03/13/2018
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