Provider Demographics
NPI:1285939405
Name:THE BAL HARBOUR INSTITUTE
Entity type:Organization
Organization Name:THE BAL HARBOUR INSTITUTE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:ALBERTO
Authorized Official - Middle Name:HORACIO
Authorized Official - Last Name:HABER
Authorized Official - Suffix:
Authorized Official - Credentials:LMHC
Authorized Official - Phone:305-866-3866
Mailing Address - Street 1:1045 KANE CONCOURSE
Mailing Address - Street 2:SUITE 207/208
Mailing Address - City:BAY HARBOR ISLANDS
Mailing Address - State:FL
Mailing Address - Zip Code:33154-2119
Mailing Address - Country:US
Mailing Address - Phone:305-866-3866
Mailing Address - Fax:
Practice Address - Street 1:1045 KANE CONCOURSE
Practice Address - Street 2:SUITE 207/208
Practice Address - City:BAY HARBOR ISLANDS
Practice Address - State:FL
Practice Address - Zip Code:33154-2119
Practice Address - Country:US
Practice Address - Phone:305-866-3866
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-01-19
Last Update Date:2011-01-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)