| Mental Therapy Rehabilitation 2020 Corp | |
|
12485 Sw 137th Ave Ste 202 Miami FL 33186-4217 | |
| (786) 815-0900 | |
| Not Available |
| Full Name | Mental Therapy Rehabilitation 2020 Corp |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 12485 Sw 137th Ave Ste 202, Miami, Florida |
| Authorized Official Name and Position | Lixandra P Quintosa (PRESIDENT) |
| Authorized Official Contact | 7868150900 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mental Therapy Rehabilitation 2020 Corp 12485 Sw 137th Ave Ste 202 Miami FL 33186-4217 Ph: (786) 815-0900 | Mental Therapy Rehabilitation 2020 Corp 12485 Sw 137th Ave Ste 202 Miami FL 33186-4217 Ph: (786) 815-0900 |
| NPI Number | 1174109516 |
|---|---|
| Provider Enumeration Date | 03/23/2021 |
| Last Update Date | 03/23/2021 |
| Certification Date | 03/23/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174109516 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| 261Q00000X | Clinic/center | (* (Not Available)) | Secondary |
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