Organization
YOUTH CONCEPT GALLERY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AQUA ETEFIA (OWNER)
(305) 528-0493
Entity
Organization
Contact information
Practice address
937 NW 3RD AVE, MIAMI, FL 33136-3305
(305) 528-0492
Mailing address
2334 SW 82ND TER, NORTH LAUDERDALE, FL 33068-5160
(305) 528-0493
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
Other
Enumeration date
03/20/2026
Last updated
03/20/2026
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