| Patrick's Aba Llc | |
|
224 Ne 23rd Ter Homestead FL 33033-6220 | |
| (786) 339-3396 | |
| Not Available |
| Full Name | Patrick's Aba Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 224 Ne 23rd Ter, Homestead, Florida |
| Authorized Official Name and Position | Jean Patrick Mahotiere (REGISTERED BEHAVIORAL TECHNICIAN) |
| Authorized Official Contact | 7863393396 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Patrick's Aba Llc 224 Ne 23rd Ter Homestead FL 33033-6220 Ph: () - | Patrick's Aba Llc 224 Ne 23rd Ter Homestead FL 33033-6220 Ph: (786) 339-3396 |
| NPI Number | 1497445332 |
|---|---|
| Provider Enumeration Date | 05/12/2023 |
| Last Update Date | 05/12/2023 |
| Certification Date | 05/12/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497445332 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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