Provider Demographics
NPI:1811468481
Name:G- F I T LLC
Entity type:Organization
Organization Name:G- F I T LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGEMENT, CFO
Authorized Official - Prefix:
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:L
Authorized Official - Last Name:GREEN
Authorized Official - Suffix:
Authorized Official - Credentials:AO, CFO
Authorized Official - Phone:310-920-8632
Mailing Address - Street 1:8534 INSIGNIA AVE UNIT 102
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89178-8645
Mailing Address - Country:US
Mailing Address - Phone:310-920-8632
Mailing Address - Fax:
Practice Address - Street 1:8534 INSIGNIA AVE UNIT 102
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89178-8645
Practice Address - Country:US
Practice Address - Phone:310-920-8632
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-12-07
Last Update Date:2018-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health