| Jenesa Community Mental Llc | |
|
1800 Sw 27th Ave Ste 400 Miami FL 33145-2400 | |
| (786) 536-6751 | |
| (786) 409-7168 |
| Full Name | Jenesa Community Mental Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1800 Sw 27th Ave Ste 400, Miami, Florida |
| Authorized Official Name and Position | Elirayde Gonzalez Castellanos (CEO) |
| Authorized Official Contact | 7866312364 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jenesa Community Mental Llc 1800 Sw 27th Ave Ste 400 Miami FL 33145-2400 Ph: (786) 536-6751 | Jenesa Community Mental Llc 1800 Sw 27th Ave Ste 400 Miami FL 33145-2400 Ph: (786) 536-6751 |
| NPI Number | 1164916755 |
|---|---|
| Provider Enumeration Date | 06/18/2018 |
| Last Update Date | 03/17/2020 |
| Certification Date | 03/17/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164916755 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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