Organization
B RILEY HOUSE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RAFAEL ANTONIO CORREA (EXECUTIVE DIRECTOR)
(216) 417-4831
Entity
Organization
Contact information
Practice address
1420 SW 1ST ST, MIAMI, FL 33135-2203
(786) 620-8008
Mailing address
1420 SW 1ST ST, MIAMI, FL 33135-2203
(786) 620-8008
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
175T00000X
Peer Specialist
—
—
Other
Enumeration date
03/07/2024
Last updated
03/07/2024
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