Provider Demographics
NPI:1700385200
Name:V & V BEHAVIORAL HEALTH CORP
Entity Type:Organization
Organization Name:V & V BEHAVIORAL HEALTH CORP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:LAZARO
Authorized Official - Middle Name:
Authorized Official - Last Name:VIZCON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:786-246-1400
Mailing Address - Street 1:270 NW 71ST AVE APT 4
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33126-4317
Mailing Address - Country:US
Mailing Address - Phone:786-246-1400
Mailing Address - Fax:
Practice Address - Street 1:270 NW 71ST AVE APT 4
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33126-4317
Practice Address - Country:US
Practice Address - Phone:786-246-1400
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-02-09
Last Update Date:2018-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty