Organization
ARK PROVISION ENTERPRISES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LUISA RAMIREZ LCSW (CEO)
(786) 486-4026
Entity
Organization
Contact information
Practice address
5911 NW 173RD DR UNIT 11, HIALEAH, FL 33015-5122
(786) 655-9992
(786) 734-8142
Mailing address
17333 NW 62ND PL, HIALEAH, FL 33015-4502
(786) 486-4026
(305) 826-3256
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
251S00000X
Community/Behavioral Health Agency
—
—
261QD1600X
Developmental Disabilities Clinic/Center
—
—
Other
Enumeration date
12/28/2015
Last updated
07/22/2021
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