Passageway Residence of Dade County, INC

NPI #1922163856 in Miami, Florida

Provider Information

NPI Number: 1922163856
Entity Type: Organization
Organization Name: Passageway Residence of Dade County, INC
Primary Specialty: Community Based Residential Treatment Facility, Mental Illness
Enumeration Date: Dec 22, 2006
Last Updated: Nov 30, 2011

Practice Location

Address: 2255 NW 10TH AVE
City: Miami
State: Florida
ZIP Code: 33127-4219
Phone: (305) 635-9106

Authorized Official

Name: MRS. LILLIAN MENENDEZ, M.D.
Title: EXECUTIVE DIRECTOR
Phone: (305) 635-9106

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Community Based Residential Treatment Facility, Mental Illness	320800000X	Primary

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