Provider Demographics
NPI:1578195715
Name:FINLAY COMMUNITY SERVICE INC
Entity Type:Organization
Organization Name:FINLAY COMMUNITY SERVICE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MARK
Authorized Official - Middle Name:
Authorized Official - Last Name:MEDINA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:786-487-5135
Mailing Address - Street 1:7620 NW 25TH ST STE 1
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33122-1719
Mailing Address - Country:US
Mailing Address - Phone:786-487-5135
Mailing Address - Fax:
Practice Address - Street 1:7620 NW 25TH ST STE 1
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33122-1719
Practice Address - Country:US
Practice Address - Phone:786-441-2851
Practice Address - Fax:784-244-5887
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-02-05
Last Update Date:2021-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health