NPI Code Detail JSON Logo

1881009405 NPI number — YAVA ADDICTION SERVICES

NPI Number: 1881009405
Health Care Provider/Practitioner: YAVA ADDICTION SERVICES

Information about “1881009405” NPI (YAVA ADDICTION SERVICES) exists in 1881009405 in HTML format HTML  |  1881009405 in plain Text format TXT  |  1881009405 in PDF (Portable Document Format) PDF  |  1881009405 in an XML format XML  formats.

NPI Number : 1881009405 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1881009405",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "YAVA ADDICTION SERVICES",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "13055 NW 42ND STREET",
    "SecondLineMailingAddress": "STE 208",
    "MailingAddressCityName": "MIAMI",
    "MailingAddressStateName": "FL",
    "MailingAddressPostalCode": "33175-3410",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "305-225-3108",
    "MailingAddressFaxNumber": "305-225-3109",
    "FirstLinePracticeLocationAddress": "13055 NW 42ND STREET",
    "SecondLinePracticeLocationAddress": "STE 208",
    "PracticeLocationAddressCityName": "MIAMI",
    "PracticeLocationAddressStateName": "FL",
    "PracticeLocationAddressPostalCode": "33175-3410",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "305-225-3108",
    "PracticeLocationAddressFaxNumber": "305-225-3109",
    "EnumerationDate": "06/23/2014",
    "LastUpdateDate": "06/23/2014",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "LAGO",
    "AuthorizedOfficialFirstName": "VANESSA",
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": "PRESIDENT/CEO",
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": "305-225-3108",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "251S00000X",
        "TaxonomyName": "Community/Behavioral Health Agency",
        "LicenseNumber": null,
        "LicenseNumberStateCode": null,
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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