Years Ahead Behavioral Health | |
3600 S State Road 7 Ste 252 Miramar FL 33023-7207 | |
(954) 505-3740 | |
(954) 362-7307 |
Full Name | Years Ahead Behavioral Health |
---|---|
Speciality | Case Management |
Location | 3600 S State Road 7 Ste 252, Miramar, Florida |
Authorized Official Name and Position | Enrique J Hernandez (PRESIDENT) |
Authorized Official Contact | 9545053740 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Years Ahead Behavioral Health 3600 S State Road 7 Ste 252 Miramar FL 33023-7207 Ph: (954) 505-3740 | Years Ahead Behavioral Health 3600 S State Road 7 Ste 252 Miramar FL 33023-7207 Ph: (954) 505-3740 |
NPI Number | 1124104401 |
---|---|
Provider Enumeration Date | 10/28/2006 |
Last Update Date | 07/19/2021 |
Certification Date | 07/19/2021 |
Medicare PECOS PAC ID | 2264454248 |
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Medicare Enrollment ID | O20051220000230 |
Identifier | Type | State | Issuer |
---|---|---|---|
1124104401 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
104100000X | Social Worker | SW4762 (Florida) | Secondary |
251B00000X | Case Management | (* (Not Available)) | Primary |
Provider Name | Yezid A Arango |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1700853132 PECOS PAC ID: 2163444043 Enrollment ID: I20051221000329 |
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