Individual
NATASHA JOSEPH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1281 NW 143RD ST, MIAMI, FL 33167-1213
(786) 587-4860
Mailing address
1281 NW 143RD ST, MIAMI, FL 33167-1213
(786) 587-4860
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
103
FL
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
236302
FL
Other
Enumeration date
10/15/2019
Last updated
05/15/2020
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