Organization
BLUE RAINBOW OF AUTISM LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
YASMARY LOPEZ LEMUS (MGR)
(786) 355-4371
Entity
Organization
Contact information
Practice address
3600 SOUTH STATE ROAD 7 STE 7, SUITE 229, MIRAMAR, FL 33023
(786) 443-1082
Mailing address
8552 CLARIDGE DR, MIRAMAR, FL 33025-2849
(786) 443-1082
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
04/11/2024
Last updated
05/14/2024
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