NPI | 1861614992 |
---|---|
Doing Business As | AXIS BEHAVIORAL HEALTH ADC |
Entity Type | Organization |
Authorized Contact | LORIANA M NOVOA President 305-668-0634 |
Organization Subpart ? | No |
Primary Taxonomy | 311Z00000X Custodial Care Facility (Licence: FL 9050) |
Enumeration Date | 2007-05-02 |
Last Update Date | 2020-08-22 |