MEDICARE: NON-VIOLENCE PROJECT USA INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251S00000X	Community/Behavioral Health Agency

General Provider Information

NPI Number	:	1396174090
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NON-VIOLENCE PROJECT USA INC

Provider Business Mailing Address
First Line	:	1234 S DIXIE HWY
Second Line	:	STE 248
City	:	CORAL GABLES
State	:	FL
Zip	:	33146-2902
Country	:	US
Telephone Number	:	305-663-1733
Fax Number	:

Provider Business Practice Location Address
First Line	:	4600 TOUCHTON RD E
Second Line	:
City	:	JACKSONVILLE
State	:	FL
Zip	:	32246-8299
Country	:	US
Telephone Number	:	866-305-7365
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	JULIO AVAEL
Credential	:
Telephone Number	:	305-663-1733

Provider Enumeration Date	:	11/04/2013
Last Update Date	:	11/04/2013

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Directions to “NON-VIOLENCE PROJECT USA INC ” Practice Location

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