Organization
ELITE BEHAVIORAL, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RAUL LUZARDO (PRESIDENT/OWNER)
(305) 209-4190
Entity
Organization
Contact information
Practice address
8074 NW 103RD ST STE 2, HIALEAH GARDENS, FL 33016-2256
(305) 209-4190
(305) 508-4302
Mailing address
8074 NW 103RD ST STE 2, HIALEAH GARDENS, FL 33016-2256
(305) 209-4190
(305) 508-4302
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
08/07/2018
Last updated
06/18/2019
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