St Theresa Community Mental Health Center Inc | |
7000 W 12th Ave Suite 17 Hialeah FL 33014-5154 | |
(305) 825-8110 | |
(305) 825-8185 |
Full Name | St Theresa Community Mental Health Center Inc |
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Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
Location | 7000 W 12th Ave, Hialeah, Florida |
Authorized Official Name and Position | Alfredo S. Martinez (PRESIDENT) |
Authorized Official Contact | 3058258110 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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St Theresa Community Mental Health Center Inc 7000 W 12th Ave Suite 17 Hialeah FL 33014-5154 Ph: (305) 825-8110 | St Theresa Community Mental Health Center Inc 7000 W 12th Ave Suite 17 Hialeah FL 33014-5154 Ph: (305) 825-8110 |
NPI Number | 1487674800 |
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Provider Enumeration Date | 07/20/2006 |
Last Update Date | 02/04/2008 |
Identifier | Type | State | Issuer |
---|---|---|---|
1487674800 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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