Provider Demographics
NPI:1427285857
Name:HANDS IN ACTION
Entity type:Organization
Organization Name:HANDS IN ACTION
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:BOARD CHAIRPERSON
Authorized Official - Prefix:MR
Authorized Official - First Name:ANGEL
Authorized Official - Middle Name:PASTOR
Authorized Official - Last Name:VALDES
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:305-820-8659
Mailing Address - Street 1:6250 W 21ST CT
Mailing Address - Street 2:
Mailing Address - City:HIALEAH
Mailing Address - State:FL
Mailing Address - Zip Code:33016-2655
Mailing Address - Country:US
Mailing Address - Phone:305-820-8659
Mailing Address - Fax:305-820-8980
Practice Address - Street 1:6250 W 21ST CT
Practice Address - Street 2:
Practice Address - City:HIALEAH
Practice Address - State:FL
Practice Address - Zip Code:33016-2655
Practice Address - Country:US
Practice Address - Phone:305-820-8659
Practice Address - Fax:305-820-8980
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-06-11
Last Update Date:2009-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSW 3762251S00000X
FLMH5761251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health