Provider Demographics
NPI:1396591731
Name:ZLC INC
Entity type:Organization
Organization Name:ZLC INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ZULEMA
Authorized Official - Middle Name:
Authorized Official - Last Name:LOPEZ CASTILLO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-290-0180
Mailing Address - Street 1:3600 SW 91ST AVE
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33165-4361
Mailing Address - Country:US
Mailing Address - Phone:305-290-0180
Mailing Address - Fax:
Practice Address - Street 1:3600 SW 91ST AVE
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33165-4361
Practice Address - Country:US
Practice Address - Phone:305-290-0180
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-04-26
Last Update Date:2024-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior TechnicianGroup - Multi-Specialty