Provider Demographics
NPI:1336644780
Name:NAMI MIAMI-DADE COUNTY, INC.
Entity Type:Organization
Organization Name:NAMI MIAMI-DADE COUNTY, INC.
Other - Org Name:NAMI OF MIAMI, INC.
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:KATHRYN
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:COPPOLA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-665-2540
Mailing Address - Street 1:299 ALHAMBRA CIR STE 224
Mailing Address - Street 2:
Mailing Address - City:CORAL GABLES
Mailing Address - State:FL
Mailing Address - Zip Code:33134-5116
Mailing Address - Country:US
Mailing Address - Phone:305-665-2540
Mailing Address - Fax:
Practice Address - Street 1:299 ALHAMBRA CIR STE 224
Practice Address - Street 2:
Practice Address - City:CORAL GABLES
Practice Address - State:FL
Practice Address - Zip Code:33134-5116
Practice Address - Country:US
Practice Address - Phone:305-665-2540
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-03-28
Last Update Date:2018-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health