| Kristi House, Inc | |
|
1265 Nw 12th Ave Miami FL 33136-2140 | |
| (305) 547-6800 | |
| (305) 547-6848 |
| Full Name | Kristi House, Inc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1265 Nw 12th Ave, Miami, Florida |
| Authorized Official Name and Position | Claudia Kitchens (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 3055476836 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kristi House, Inc 1265 Nw 12th Ave Miami FL 33136-2140 Ph: (305) 547-6800 | Kristi House, Inc 1265 Nw 12th Ave Miami FL 33136-2140 Ph: (305) 547-6800 |
| NPI Number | 1205814308 |
|---|---|
| Provider Enumeration Date | 01/09/2006 |
| Last Update Date | 02/24/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205814308 | NPI | - | NPPES |
| 070845304 | Medicaid | FL | |
| 070845300 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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