Provider Demographics
NPI:1811652795
Name:NOVOS BEHAVIORAL HEALTH CENTER INC
Entity type:Organization
Organization Name:NOVOS BEHAVIORAL HEALTH CENTER INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VICE PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JOSUE
Authorized Official - Middle Name:
Authorized Official - Last Name:RODRIGUEZ
Authorized Official - Suffix:
Authorized Official - Credentials:BA
Authorized Official - Phone:786-451-3040
Mailing Address - Street 1:2103 CORAL WAY STE 603
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33145-2656
Mailing Address - Country:US
Mailing Address - Phone:786-464-0353
Mailing Address - Fax:786-483-8142
Practice Address - Street 1:2103 CORAL WAY STE 603
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33145-2656
Practice Address - Country:US
Practice Address - Phone:786-464-0353
Practice Address - Fax:786-483-8142
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:NOVOS BEHAVIORAL HEALTH CENTER INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2021-11-04
Last Update Date:2023-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary CareGroup - Multi-Specialty
No207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Multi-Specialty