Organization
SVYN MANAGEMENT LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICAH HARRELL (CEO)
(305) 934-6532
Entity
Organization
Contact information
Practice address
5521 SW 63RD AVE, MIAMI, FL 33143-3320
(305) 934-6532
Mailing address
5521 SW 63RD AVE, MIAMI, FL 33143-3320
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
600965051
—
LA
Enumeration date
12/30/2015
Last updated
12/30/2015
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