Provider Demographics
NPI:1043037997
Name:REFA NA HEALTH LLC
Entity type:Organization
Organization Name:REFA NA HEALTH LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:KAIREN
Authorized Official - Middle Name:
Authorized Official - Last Name:LEON
Authorized Official - Suffix:
Authorized Official - Credentials:OTR/L
Authorized Official - Phone:772-999-1977
Mailing Address - Street 1:1375 27TH AVE
Mailing Address - Street 2:
Mailing Address - City:VERO BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:32960-3974
Mailing Address - Country:US
Mailing Address - Phone:772-999-1977
Mailing Address - Fax:772-237-1962
Practice Address - Street 1:2706 20TH ST
Practice Address - Street 2:
Practice Address - City:VERO BEACH
Practice Address - State:FL
Practice Address - Zip Code:32960-3001
Practice Address - Country:US
Practice Address - Phone:772-999-1977
Practice Address - Fax:772-237-1962
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-09-23
Last Update Date:2024-11-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Multi-Specialty