| Revive Mental Health Center Llc | |
|
900 W 49th St Ste B001 Hialeah FL 33012-3402 | |
| (786) 663-2822 | |
| Not Available |
| Full Name | Revive Mental Health Center Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 900 W 49th St Ste B001, Hialeah, Florida |
| Authorized Official Name and Position | Claudia Vielma Flores (OWNER) |
| Authorized Official Contact | 7866632822 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Revive Mental Health Center Llc 900 W 49th St Ste B001 Hialeah FL 33012-3402 Ph: (786) 663-2822 | Revive Mental Health Center Llc 900 W 49th St Ste B001 Hialeah FL 33012-3402 Ph: (786) 663-2822 |
| NPI Number | 1790521375 |
|---|---|
| Provider Enumeration Date | 07/03/2024 |
| Last Update Date | 07/03/2024 |
| Certification Date | 07/03/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790521375 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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