Pridelines Youth Services, Inc.
May also be knows as Pridelines
Clinic/Center in Miami, FL(View on Map)
Legal Business Name
Pridelines Youth Services, Inc.
Also Known As
Pridelines
NPI Number
1992546386
NPI Type
Organization
Enumeration Date
06/01/2024
Specialties
(Taxonomies)Name
Code
261Q00000X
251B00000X
261QC1500X
261QM0801X
Primary Taxonomy
Yes
No
No
No
Contact
Information
Purpose
Mailing
Location
Address
PO BOX 14340
5525 NW 7TH AVE
City
Miami
Miami
State
FL
FL
Postal Code
33101-4340
33127-1401
Country
US
US
Telephone Number
(305) 571-9601
(305) 571-9601
Authorized Official
Name
Dr. Edward Summers
Title or Position
EXECUTIVE DIRECTOR
Telephone Number
(347) 468-6621
Health Information Exchange
Endpoint Type
DIRECT
Endpoint
info@pridelines.org
Endpoint Description
Unknown
Use
Direct
Content Type
CSV
Affiliation
N
Endpoint Location
1130 Washington Ave Fl 1Miami Beach, FL331394600US
Provider data last refreshed from NPPES NPI registry on 11/19/2024
Data last updated by provider on 06/05/2024
Provider Address
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