| Psy Elder Care Corp | |
|
5399 Nw 36th St Unit C Miami Springs FL 33166-5913 | |
| (786) 525-6350 | |
| Not Available |
| Full Name | Psy Elder Care Corp |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 5399 Nw 36th St Unit C, Miami Springs, Florida |
| Authorized Official Name and Position | Nelson Angel Diaz Morgado (PRESIDENT) |
| Authorized Official Contact | 7865256350 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Psy Elder Care Corp 5399 Nw 36th St Unit C Miami Springs FL 33166-5913 Ph: (786) 525-6350 | Psy Elder Care Corp 5399 Nw 36th St Unit C Miami Springs FL 33166-5913 Ph: (786) 525-6350 |
| NPI Number | 1891384947 |
|---|---|
| Provider Enumeration Date | 01/13/2021 |
| Last Update Date | 04/20/2021 |
| Certification Date | 04/20/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891384947 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Secondary |
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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