Organization
HALL BEHAVIORAL SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAYLAN FREDRICK HALL (CEO/OWNER/PROVIDER)
(305) 785-4864
Entity
Organization
Contact information
Practice address
1320 NE 200TH TER, MIAMI, FL 33179-5138
(305) 785-4864
Mailing address
1320 NE 200TH TER, MIAMI, FL 33179-5138
(305) 785-4864
Taxonomy
Speciality
Code
Description
License number
State
261QD1600X
Developmental Disabilities Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
687028
—
FL
Enumeration date
11/07/2017
Last updated
11/07/2017
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