Provider Demographics
NPI:1972728806
Name:CARRFOUR SUPPORTIVE HOUSING
Entity Type:Organization
Organization Name:CARRFOUR SUPPORTIVE HOUSING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT CEO
Authorized Official - Prefix:MS
Authorized Official - First Name:STEPHANIE
Authorized Official - Middle Name:
Authorized Official - Last Name:BERMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-371-8300
Mailing Address - Street 1:155 S MIAMI AVE
Mailing Address - Street 2:SUITE 850
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33130-1617
Mailing Address - Country:US
Mailing Address - Phone:305-371-8300
Mailing Address - Fax:
Practice Address - Street 1:1398 SW 1ST ST FL 12
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33135-2380
Practice Address - Country:US
Practice Address - Phone:305-371-8300
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-16
Last Update Date:2020-09-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health