Provider Demographics
NPI:1336714112
Name:SFL BEHAVIORAL SERVICES LLC
Entity Type:Organization
Organization Name:SFL BEHAVIORAL SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JORGE
Authorized Official - Middle Name:D
Authorized Official - Last Name:GOMEZ CHIANG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:954-696-5071
Mailing Address - Street 1:8910 MIRAMAR PKWY STE 207C
Mailing Address - Street 2:
Mailing Address - City:MIRAMAR
Mailing Address - State:FL
Mailing Address - Zip Code:33025-4961
Mailing Address - Country:US
Mailing Address - Phone:954-696-5071
Mailing Address - Fax:
Practice Address - Street 1:8910 MIRAMAR PKWY STE 207C
Practice Address - Street 2:
Practice Address - City:MIRAMAR
Practice Address - State:FL
Practice Address - Zip Code:33025-4961
Practice Address - Country:US
Practice Address - Phone:954-696-5071
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-05-24
Last Update Date:2021-05-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management