| Community Behavior Care Llc | |
|
221 Ne 164th Street Unit 276 North Miami Beach FL 33160 | |
| (754) 217-5335 | |
| (754) 247-3777 |
| Full Name | Community Behavior Care Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 221 Ne 164th Street, North Miami Beach, Florida |
| Authorized Official Name and Position | Ivan Laptev (PRESIDENT) |
| Authorized Official Contact | 7542175335 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Community Behavior Care Llc 221 Ne 164th Street Unit 276 North Miami Beach FL 33160 Ph: (754) 217-5335 | Community Behavior Care Llc 221 Ne 164th Street Unit 276 North Miami Beach FL 33160 Ph: (754) 217-5335 |
| NPI Number | 1073114823 |
|---|---|
| Provider Enumeration Date | 11/06/2020 |
| Last Update Date | 11/06/2020 |
| Certification Date | 11/06/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073114823 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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