Provider Demographics
NPI:1033319280
Name:DRUG FREE YOUTH IN TOWN
Entity Type:Organization
Organization Name:DRUG FREE YOUTH IN TOWN
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:BABARA
Authorized Official - Middle Name:
Authorized Official - Last Name:ZOHLMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-971-0607
Mailing Address - Street 1:16201 SW 95TH AVE
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33157-3459
Mailing Address - Country:US
Mailing Address - Phone:305-971-0607
Mailing Address - Fax:305-254-3647
Practice Address - Street 1:16201 SW 95TH AVE
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33157-3459
Practice Address - Country:US
Practice Address - Phone:305-971-0607
Practice Address - Fax:305-254-3647
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-07-24
Last Update Date:2007-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL1113AD441401101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselorGroup - Single Specialty