Provider Demographics
NPI:1376190736
Name:ARCHSTONE BEHAVIORAL HEALTH LLC
Entity Type:Organization
Organization Name:ARCHSTONE BEHAVIORAL HEALTH LLC
Other - Org Name:ARCHSTONE BEHAVIORAL HEALTH
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER & CEO
Authorized Official - Prefix:
Authorized Official - First Name:MOSHE
Authorized Official - Middle Name:
Authorized Official - Last Name:YACHNES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:786-877-1461
Mailing Address - Street 1:501 W PERRY ST
Mailing Address - Street 2:
Mailing Address - City:LANTANA
Mailing Address - State:FL
Mailing Address - Zip Code:33462-4547
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:501 W PERRY ST
Practice Address - Street 2:
Practice Address - City:LANTANA
Practice Address - State:FL
Practice Address - Zip Code:33462-4547
Practice Address - Country:US
Practice Address - Phone:561-588-8323
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-08-21
Last Update Date:2019-12-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes324500000XResidential Treatment FacilitiesSubstance Abuse Rehabilitation Facility