MEDICARE: ALLIANCE FOR BEHAVIORAL HEALTH CENTER, CORP

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

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1578177366
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ALLIANCE FOR BEHAVIORAL HEALTH CENTER, CORP

Provider Business Mailing Address
First Line	:	19321 SW 14TH ST
Second Line	:
City	:	PEMBROKE PINES
State	:	FL
Zip	:	33029-6124
Country	:	US
Telephone Number	:	954-394-3095
Fax Number	:

Provider Business Practice Location Address
First Line	:	552 S DIXIE HWY E
Second Line	:
City	:	POMPANO BEACH
State	:	FL
Zip	:	33060-6912
Country	:	US
Telephone Number	:	954-333-8787
Fax Number	:	954-333-8621

Authorized Official
Title or Position	:	DIRECTOR
Name	:	PABLO URIARTE
Credential	:
Telephone Number	:	954-394-3095

Provider Enumeration Date	:	08/31/2020
Last Update Date	:	08/31/2020

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Directions to “ALLIANCE FOR BEHAVIORAL HEALTH CENTER, CORP ” Practice Location

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