| Elite Behavioral, Inc. | |
|
8074 Nw 103rd St Ste 2 Hialeah Gardens FL 33016-2256 | |
| (305) 209-4190 | |
| (305) 508-4302 |
| Full Name | Elite Behavioral, Inc. |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 8074 Nw 103rd St Ste 2, Hialeah Gardens, Florida |
| Authorized Official Name and Position | Raul Luzardo (PRESIDENT/OWNER) |
| Authorized Official Contact | 3052094190 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Elite Behavioral, Inc. 8074 Nw 103rd St Ste 2 Hialeah Gardens FL 33016-2256 Ph: (305) 209-4190 | Elite Behavioral, Inc. 8074 Nw 103rd St Ste 2 Hialeah Gardens FL 33016-2256 Ph: (305) 209-4190 |
| NPI Number | 1821577206 |
|---|---|
| Provider Enumeration Date | 08/07/2018 |
| Last Update Date | 06/18/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821577206 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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