Provider Demographics
NPI:1356883086
Name:BEHAVIORAL CENTERS OF SOUTH FLORIDA
Entity type:Organization
Organization Name:BEHAVIORAL CENTERS OF SOUTH FLORIDA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:YIPSI
Authorized Official - Middle Name:
Authorized Official - Last Name:MARTIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-982-8810
Mailing Address - Street 1:1806 N FLAMINGO RD STE 280
Mailing Address - Street 2:
Mailing Address - City:PEMBROKE PINES
Mailing Address - State:FL
Mailing Address - Zip Code:33028-1031
Mailing Address - Country:US
Mailing Address - Phone:954-866-1202
Mailing Address - Fax:954-507-9655
Practice Address - Street 1:1806 N FLAMINGO RD STE 280
Practice Address - Street 2:
Practice Address - City:PEMBROKE PINES
Practice Address - State:FL
Practice Address - Zip Code:33028-1031
Practice Address - Country:US
Practice Address - Phone:954-866-1202
Practice Address - Fax:954-507-9655
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-11-11
Last Update Date:2024-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Multi-Specialty
No251B00000XAgenciesCase ManagementGroup - Multi-Specialty
No251S00000XAgenciesCommunity/Behavioral Health