Organization
AXIS BEHAVIORAL HEALTH, INC
Active
Other names
Axis Behavioral Health ADC
Organization subpart
No
Provider details
NPI number
Authorized official
LORIANA M NOVOA ED.O (PRESIDENT)
(305) 668-0634
Entity
Organization
Contact information
Practice address
6840 BIRD ROAD, MIAMI, FL 33155
(305) 668-0634
(305) 551-1210
Mailing address
6840 BIRD ROAD, SUITE 205, MIAMI, FL 33155
(305) 668-0634
(305) 551-1210
Taxonomy
Speciality
Code
Description
License number
State
311Z00000X
Custodial Care Facility
Primary
9050
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
235271
PROVIDER NUMBER
FL
01
—
60-70164
PROVIDER NUMBER
FL
Enumeration date
05/02/2007
Last updated
08/22/2020
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