Doctor Name: | MR. AURILIEN JEAN |
NPI Number: | 1376944769 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.S., C.M.H.P., A.P. |
License Number: | |
Business Practice Address: | 15100 Nw 27th Ave Opa Locka, FL - 330542642 |
Business Phone Number: | 3056858201 |
Business Fax Number: | 3056850158 |
Mailing Address: | 15100 Nw 27th Ave, OPA LOCKA |
State: | FL |
Postal Code: | 330542642 |
Phone Number: | 3056858201 |
Fax Number: | 3056850158 |
NPI Enumeration Date: | 09/04/2014 |
NPI Last Update Date: | 09/04/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 324500000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Residential Treatment Facilities |
Taxonomy Classification: | Substance Abuse Rehabilitation Facility |
Taxonomy Specialization: | |
Taxonomy Definition: | A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances. |