| N/a | |
|
9290 Sunset Dr. Suite # 106, Bldg. #2 Miami FL 33173 | |
| (305) 596-4045 | |
| (305) 596-4047 |
| Full Name | N/a |
|---|---|
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 9290 Sunset Dr., Miami, Florida |
| Authorized Official Name and Position | Marissa Santana (MANAGER/CEO) |
| Authorized Official Contact | 3055964045 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| N/a 9290 Sunset Dr. Suite # 106, Bldg. #2 Miami FL 33173 Ph: (305) 596-4045 | N/a 9290 Sunset Dr. Suite # 106, Bldg. #2 Miami FL 33173 Ph: (305) 596-4045 |
| NPI Number | 1306218623 |
|---|---|
| Provider Enumeration Date | 10/26/2015 |
| Last Update Date | 11/15/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306218623 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Primary |
| 251S00000X | Community/behavioral Health | MT 3043 (Florida) | Secondary |
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