| Multicultural Community Mental Health Center Inc | |
|
2112 S Congress Ave Suite 104 Palm Springs FL 33406-7670 | |
| (561) 653-6292 | |
| (561) 653-6297 |
| Full Name | Multicultural Community Mental Health Center Inc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 2112 S Congress Ave, Palm Springs, Florida |
| Authorized Official Name and Position | Raul Hernandez Fabian (PROGRAM DIRECTOR, PRESIDENT) |
| Authorized Official Contact | 5616536292 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Multicultural Community Mental Health Center Inc 2112 S Congress Ave Suite 104 Palm Springs FL 33406-7670 Ph: (561) 653-6292 | Multicultural Community Mental Health Center Inc 2112 S Congress Ave Suite 104 Palm Springs FL 33406-7670 Ph: (561) 653-6292 |
| NPI Number | 1003087537 |
|---|---|
| Provider Enumeration Date | 03/12/2008 |
| Last Update Date | 04/09/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003087537 | NPI | - | NPPES |
| 076941000 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (Florida) | Primary |
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