| B Riley House | |
|
1420 Sw 1st St Miami FL 33135-2203 | |
| (786) 620-8008 | |
| Not Available |
| Full Name | B Riley House |
|---|---|
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 1420 Sw 1st St, Miami, Florida |
| Authorized Official Name and Position | Rafael Antonio Correa (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 2164174831 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| B Riley House 1420 Sw 1st St Miami FL 33135-2203 Ph: (786) 620-8008 | B Riley House 1420 Sw 1st St Miami FL 33135-2203 Ph: (786) 620-8008 |
| NPI Number | 1285492991 |
|---|---|
| Provider Enumeration Date | 03/07/2024 |
| Last Update Date | 03/07/2024 |
| Certification Date | 03/07/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285492991 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Primary |
| 175T00000X | Peer Specialist | (* (Not Available)) | Secondary |
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