Provider Demographics
NPI:1760005987
Name:BARBON MANAGEMENT SERVICES CO
Entity Type:Organization
Organization Name:BARBON MANAGEMENT SERVICES CO
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:TARGET CASE MANAGEMENT
Authorized Official - Prefix:
Authorized Official - First Name:BELKIS
Authorized Official - Middle Name:
Authorized Official - Last Name:BARBON CRESPO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:786-539-8927
Mailing Address - Street 1:13905 SW 57TH LN
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33183-1136
Mailing Address - Country:US
Mailing Address - Phone:786-539-8927
Mailing Address - Fax:
Practice Address - Street 1:13255 SW 137TH AVE STE 204
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33186-5327
Practice Address - Country:US
Practice Address - Phone:786-539-8927
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-05-21
Last Update Date:2021-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)
No251B00000XAgenciesCase Management