Provider Demographics
NPI:1003401332
Name:BEST LIFE BEHAVIORAL LLC
Entity Type:Organization
Organization Name:BEST LIFE BEHAVIORAL LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:GABRIEL
Authorized Official - Middle Name:
Authorized Official - Last Name:ALVAREZ QUEVEDO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:786-227-8705
Mailing Address - Street 1:450 N PARK RD STE 303
Mailing Address - Street 2:
Mailing Address - City:HOLLYWOOD
Mailing Address - State:FL
Mailing Address - Zip Code:33021-6919
Mailing Address - Country:US
Mailing Address - Phone:786-227-8705
Mailing Address - Fax:305-835-4434
Practice Address - Street 1:450 N PARK RD STE 303
Practice Address - Street 2:
Practice Address - City:HOLLYWOOD
Practice Address - State:FL
Practice Address - Zip Code:33021-6919
Practice Address - Country:US
Practice Address - Phone:786-227-8705
Practice Address - Fax:305-835-4434
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-03-08
Last Update Date:2021-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management