| All State Community Mental Health Center, Llc | |
|
18503 Pines Blvd Suite 308 Pembroke Pines FL 33029-1404 | |
| (954) 251-2702 | |
| Not Available |
| Full Name | All State Community Mental Health Center, Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 18503 Pines Blvd, Pembroke Pines, Florida |
| Authorized Official Name and Position | Beatrice Fernandez (OWNER) |
| Authorized Official Contact | 9542398959 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| All State Community Mental Health Center, Llc 18503 Pines Blvd Suite 308 Pembroke Pines FL 33029-1404 Ph: (954) 251-2702 | All State Community Mental Health Center, Llc 18503 Pines Blvd Suite 308 Pembroke Pines FL 33029-1404 Ph: (954) 251-2702 |
| NPI Number | 1225410178 |
|---|---|
| Provider Enumeration Date | 06/26/2015 |
| Last Update Date | 03/16/2021 |
| Certification Date | 03/16/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225410178 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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