Organization
BEHAVIOR SUPPORT SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LIUDMILA CARDENASDIAZ BCABA (PRESIDENTOWNER)
(305) 345-4627
Entity
Organization
Contact information
Practice address
10200 SW 120TH ST, MIAMI, FL 33176-4806
(305) 259-0501
(305) 259-0501
Mailing address
10200 SW 120TH ST, MIAMI, FL 33176-4806
(305) 259-0501
(305) 259-0501
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
0051671
FL
Other
Enumeration date
04/12/2007
Last updated
08/22/2020
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