Provider Demographics
NPI:1316030265
Name:SOUTH FLORIDA BEHAVIORAL HEALTH NETWORK, INC.
Entity Type:Organization
Organization Name:SOUTH FLORIDA BEHAVIORAL HEALTH NETWORK, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT AND CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:W
Authorized Official - Last Name:DOW
Authorized Official - Suffix:
Authorized Official - Credentials:MSW
Authorized Official - Phone:305-858-3335
Mailing Address - Street 1:7205 CORPORATE CENTER DR
Mailing Address - Street 2:SUITE 200
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33126-1216
Mailing Address - Country:US
Mailing Address - Phone:305-858-3335
Mailing Address - Fax:305-860-4869
Practice Address - Street 1:7205 CORPORATE CENTER DR
Practice Address - Street 2:SUITE 200
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33126-1216
Practice Address - Country:US
Practice Address - Phone:305-858-3335
Practice Address - Fax:305-860-4869
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-02
Last Update Date:2013-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health