NPI 1013211184
Psychology and Behavior Services
Practice location
- Address
- 4882 NW 4th Ter, Miami, FL 33126-2171
- Phone
- (305) 639-3049
- Fax
- (305) 639-3049
- Mailing address
- 11233 NW 50th Ter, Doral, FL 33178-3543
Authorised official
- Name
- Frank David Rosa
- Title
- Executive Director
- Phone
- (305) 801-8957
Registered specialties
Community/Behavioral Health Agency
Primary
Registry record
- NPI
- 1013211184
- Entity type
- Organization
- NPI issued
- 4 Jan 2011
- Record last updated
- 4 Jan 2011
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.