| Jackson North Community Mental Health Center-med Waiver | |
|
20201 Nw 37th Ave Miami Gardens FL 33056-1755 | |
| (786) 466-2700 | |
| (786) 466-2748 |
| Full Name | Jackson North Community Mental Health Center-med Waiver |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 20201 Nw 37th Ave, Miami Gardens, Florida |
| Authorized Official Name and Position | Melida Akiti (DIRECTOR) |
| Authorized Official Contact | 7864662710 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jackson North Community Mental Health Center-med Waiver 20201 Nw 37th Ave Miami Gardens FL 33056-1755 Ph: (786) 466-2700 | Jackson North Community Mental Health Center-med Waiver 20201 Nw 37th Ave Miami Gardens FL 33056-1755 Ph: (786) 466-2700 |
| NPI Number | 1831340900 |
|---|---|
| Provider Enumeration Date | 10/07/2008 |
| Last Update Date | 10/07/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831340900 | NPI | - | NPPES |
| 142202200 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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