Provider Demographics
NPI:1477164457
Name:ALLIANCE BEHAVIORAL HEALTH INC
Entity Type:Organization
Organization Name:ALLIANCE BEHAVIORAL HEALTH INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:
Authorized Official - First Name:GISELA
Authorized Official - Middle Name:J
Authorized Official - Last Name:GREY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:212-300-3043
Mailing Address - Street 1:10620 GRIFFIN RD STE B108
Mailing Address - Street 2:
Mailing Address - City:DAVIE
Mailing Address - State:FL
Mailing Address - Zip Code:33328-3217
Mailing Address - Country:US
Mailing Address - Phone:212-300-3043
Mailing Address - Fax:
Practice Address - Street 1:10620 GRIFFIN RD STE B108
Practice Address - Street 2:
Practice Address - City:DAVIE
Practice Address - State:FL
Practice Address - Zip Code:33328-3217
Practice Address - Country:US
Practice Address - Phone:212-300-3043
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-08-12
Last Update Date:2020-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health