COMMUNITY MENTAL HEALTH AND WELLNESS CENTER INC NPI 1689191579

NPI Information

COMMUNITY MENTAL HEALTH AND WELLNESS CENTER INC is a clinic center in Doral, FL. The provider is a facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). COMMUNITY MENTAL HEALTH AND WELLNESS CENTER INC NPI is 1689191579. The provider is registered as an organization entity type.
The provider Other Name Is Community Mental Health And Wellness Center Of Doral Inc.

The provider's business location address is:

9300 NW 25TH ST STE 106
DORAL, FL
ZIP 33172-506
Phone: (786) 320-7603

The provider's authorized official is Delia Rosa Kennedy .
The authorized official title is Administrator and has the following contact phone number (786) 556-1397.

The CLIA number assigned to this NPI record is 10D2146651 - other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/23/2017 and was last updated on 3/27/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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