| Prestige Aba Services Llc | |
|
2100 W 76th St Ste 211 Hialeah FL 33016-5503 | |
| (786) 317-0100 | |
| (786) 490-2838 |
| Full Name | Prestige Aba Services Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 2100 W 76th St Ste 211, Hialeah, Florida |
| Authorized Official Name and Position | Mairelys Concepcion (OWNER) |
| Authorized Official Contact | 7863170100 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Prestige Aba Services Llc 714 Mcarthur Ave Lehigh Acres FL 33936-1214 Ph: (786) 317-0100 | Prestige Aba Services Llc 2100 W 76th St Ste 211 Hialeah FL 33016-5503 Ph: (786) 317-0100 |
| NPI Number | 1912578261 |
|---|---|
| Provider Enumeration Date | 07/08/2021 |
| Last Update Date | 07/08/2021 |
| Certification Date | 07/08/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912578261 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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