Organization · NPI-2

4kids Health Services Corp.

Community/Behavioral Health · Hialeah, FL

NPI number1679117600
StatusActive
Last updated in NPPESJun 26, 2023

Details

NPI
1679117600
Entity type
Organization (NPI-2)
Legal business name
4kids Health Services Corp.
Organization subpart
No
Enumeration date
Nov 2, 2019
Certification date
Jun 26, 2023
Last updated
Jun 26, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
251S00000X Community/Behavioral Health––Yes

Practice location

7778 W 2nd Ct
Hialeah, FL 33014-4308

Phone 305-586-4445

Mailing address

7778 W 2nd Ct
Hialeah, FL 33014-4308

Phone 305-586-4445

Authorized official

Yaraisy Avellaneda
President
3055864445

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