Provider Demographics
NPI:1710244470
Name:ALL BEHAVIORAL CASE MANAGEMENT SERVICE INC
Entity Type:Organization
Organization Name:ALL BEHAVIORAL CASE MANAGEMENT SERVICE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:DANIURYS
Authorized Official - Middle Name:
Authorized Official - Last Name:REGALON
Authorized Official - Suffix:
Authorized Official - Credentials:BA
Authorized Official - Phone:786-334-1757
Mailing Address - Street 1:5201 BLUE LAGOON DR FL 9
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33126-7050
Mailing Address - Country:US
Mailing Address - Phone:786-334-1757
Mailing Address - Fax:
Practice Address - Street 1:5201 BLUE LAGOON DR FL 9
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33126-7050
Practice Address - Country:US
Practice Address - Phone:786-334-1757
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-04-19
Last Update Date:2012-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL00725250-5251B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management