Organization · NPI-2

Art & Liberty, Corp

Community/Behavioral Health · Doral, FL

NPI number1013462746
StatusActive
Last updated in NPPESAug 23, 2016

Details

NPI
1013462746
Entity type
Organization (NPI-2)
Legal business name
Art & Liberty, Corp
Organization subpart
No
Enumeration date
Aug 23, 2016
Last updated
Aug 23, 2016

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
251S00000X Community/Behavioral Health–FLYes

Practice location

10200 Nw 25th St
Suite 205-2
Doral, FL 33172-5921

Phone 305-989-3296

Mailing address

10200 Nw 25th St
Suite 205-2
Doral, FL 33172-5921

Authorized official

Idelmis Martinez
President
3059893296

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