Psychosocial Rehabilitation Center INC
Community/Behavioral Health in South Miami, FL. Organization (NPI-2).
NPI number1174526743
StatusActive
Last updated in NPPESApr 4, 2025
Details
- NPI
- 1174526743
- Entity type
- Organization (NPI-2)
- Legal business name
- Psychosocial Rehabilitation Center INC
- Organization subpart
- No
- Enumeration date
- May 27, 2005
- Certification date
- Apr 4, 2025
- Last updated
- Apr 4, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 251S00000X | Community/Behavioral Health | – | FL | Yes |
| 251B00000X | Case Management | – | FL |
Other names
- Fellowship House (Doing Business As)
Practice location
5711 S Dixie HwySouth Miami, FL 33143-3602
Phone 305-667-1036 · Fax 305-667-4938
Mailing address
5711 S Dixie HwySouth Miami, FL 33143-3602
Phone 305-667-1036 · Fax 305-667-4938
Authorized official
Rosemary Juliana Smith Hoel
President And
3056671036
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