Organization
GREEN CROSS CLINIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALESSANDRO MORIYON (DIRECTOR)
(786) 239-2051
Entity
Organization
Contact information
Practice address
730 SE 8TH ST STE 104, HIALEAH, FL 33010-5646
(305) 557-3444
(305) 557-3445
Mailing address
730 SE 8TH ST STE 104, HIALEAH, FL 33010-5646
(305) 557-3444
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
FL
251B00000X
Case Management Agency
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
018864900
—
FL
Enumeration date
12/12/2016
Last updated
07/14/2021
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