| Alasake Mental Health Services Corp | |
|
2500 Nw 79th Ave Ste 191a Miami FL 33122-1084 | |
| (786) 401-7579 | |
| (786) 409-5790 |
| Full Name | Alasake Mental Health Services Corp |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 2500 Nw 79th Ave Ste 191a, Miami, Florida |
| Authorized Official Name and Position | Alfonso Alfonso (PRESIDENT) |
| Authorized Official Contact | 7862058684 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Alasake Mental Health Services Corp 2500 Nw 79th Ave Ste 191 Doral FL 33122-1084 Ph: (786) 631-3152 | Alasake Mental Health Services Corp 2500 Nw 79th Ave Ste 191a Miami FL 33122-1084 Ph: (786) 401-7579 |
| NPI Number | 1396235347 |
|---|---|
| Provider Enumeration Date | 05/15/2018 |
| Last Update Date | 12/19/2023 |
| Certification Date | 12/19/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396235347 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | P236200827620 (Florida) | Primary |
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Secondary |
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