Provider Demographics
NPI:1508959305
Name:MIAMI-DADE COUNTY COMMUNITY ACTION AND HUMAN SERVICES DEPARTMENT
Entity Type:Organization
Organization Name:MIAMI-DADE COUNTY COMMUNITY ACTION AND HUMAN SERVICES DEPARTMENT
Other - Org Name:REHABILITATIVE SERVICES BUREAU
Other - Org Type:Other Name
Authorized Official - Title/Position:DEPARTMENT DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:LUCIA
Authorized Official - Middle Name:
Authorized Official - Last Name:DAVIS-RAIFORD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-469-4600
Mailing Address - Street 1:701 N.W. 1ST COURT
Mailing Address - Street 2:10TH FLOOR
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33136-3923
Mailing Address - Country:US
Mailing Address - Phone:786-469-4600
Mailing Address - Fax:786-469-4679
Practice Address - Street 1:701 N.W. 1ST COURT
Practice Address - Street 2:10TH FLOOR
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33136-3923
Practice Address - Country:US
Practice Address - Phone:786-469-4600
Practice Address - Fax:786-469-4679
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:MIAMI-DADE COUNTY
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2006-10-02
Last Update Date:2014-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Multi-Specialty
No103TA0400XBehavioral Health & Social Service ProvidersPsychologistAddiction (Substance Use Disorder)Group - Multi-Specialty