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Organization

GANG ALTERNATIVE, INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MICHAEL NOZILE (PRESIDENT)
(786) 391-2375
Entity
Organization

Contact information

Practice address
6620 N MIAMI AVE, MIAMI, FL 33150-4524
(786) 391-2379
Mailing address
12000 BISCAYNE BLVD, NORTH MIAMI, FL 33181-2735
(756) 391-2379

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1036620
DCF
FL
Enumeration date
01/28/2019
Last updated
01/28/2019
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