Provider Demographics
NPI:1518238211
Name:CARISK BEHAVIORAL HEALTH, INC.
Entity Type:Organization
Organization Name:CARISK BEHAVIORAL HEALTH, INC.
Other - Org Name:CONCORDIA BEHAVIORAL HEALTH
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CHIEF MEDICAL OFFICER
Authorized Official - Prefix:DR
Authorized Official - First Name:ANGEL
Authorized Official - Middle Name:ERNESTO
Authorized Official - Last Name:GARRIDO
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:305-514-5204
Mailing Address - Street 1:10685 N KENDALL DR
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33176-1510
Mailing Address - Country:US
Mailing Address - Phone:305-514-5300
Mailing Address - Fax:305-514-5201
Practice Address - Street 1:10685 N KENDALL DR
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33176-1510
Practice Address - Country:US
Practice Address - Phone:305-514-5300
Practice Address - Fax:305-514-5201
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:CONCORDIA HEALTHCARE HOLDINGS, INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2012-01-26
Last Update Date:2019-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL302R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes302R00000XManaged Care OrganizationsHealth Maintenance Organization