Provider Demographics
NPI:1982033809
Name:THE MIAMI COALITION FOR A SAFE AND DRUG FREE COMMUNITY, INC.
Entity Type:Organization
Organization Name:THE MIAMI COALITION FOR A SAFE AND DRUG FREE COMMUNITY, INC.
Other - Org Name:THE MIAMI COALITION
Other - Org Type:Doing Business As
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:DOUGLAS
Authorized Official - Middle Name:W
Authorized Official - Last Name:HUGHES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:866-305-7365
Mailing Address - Street 1:1234 S DIXIE HWY # 348
Mailing Address - Street 2:
Mailing Address - City:CORAL GABLES
Mailing Address - State:FL
Mailing Address - Zip Code:33146-2902
Mailing Address - Country:US
Mailing Address - Phone:866-305-7365
Mailing Address - Fax:866-305-7365
Practice Address - Street 1:1205 SUNSET RD FL 2
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33143-6022
Practice Address - Country:US
Practice Address - Phone:866-305-7365
Practice Address - Fax:866-305-7365
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-11-01
Last Update Date:2013-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL1113AD868602251300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL1113AD868602OtherFLORIDA DEPARTMENT OF CHILDREN AND FAMILIES LEVEL 1 PREVENTION LICENSE