| Gang Alternative, Inc. | |
|
6620 N Miami Ave Miami FL 33150-4524 | |
| (786) 391-2379 | |
| Not Available |
| Full Name | Gang Alternative, Inc. |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 6620 N Miami Ave, Miami, Florida |
| Authorized Official Name and Position | Michael Nozile (PRESIDENT) |
| Authorized Official Contact | 7863912375 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Gang Alternative, Inc. 12000 Biscayne Blvd North Miami FL 33181-2735 Ph: (756) 391-2379 | Gang Alternative, Inc. 6620 N Miami Ave Miami FL 33150-4524 Ph: (786) 391-2379 |
| NPI Number | 1932663671 |
|---|---|
| Provider Enumeration Date | 01/28/2019 |
| Last Update Date | 01/28/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932663671 | NPI | - | NPPES |
| 1036620 | Other | FL | DCF |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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