| Homestead Behavioral Clinic, Inc. | |
|
654 Ne 9th Pl Homestead FL 33030-4934 | |
| (305) 248-3488 | |
| (305) 248-6558 |
| Full Name | Homestead Behavioral Clinic, Inc. |
|---|---|
| Speciality | General Practice |
| Location | 654 Ne 9th Pl, Homestead, Florida |
| Authorized Official Name and Position | Aidelyn Lopez (PRESIDENT) |
| Authorized Official Contact | 3052483488 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Homestead Behavioral Clinic, Inc. 654 Ne 9th Pl Homestead FL 33030-4934 Ph: (305) 248-3488 | Homestead Behavioral Clinic, Inc. 654 Ne 9th Pl Homestead FL 33030-4934 Ph: (305) 248-3488 |
| NPI Number | 1881264091 |
|---|---|
| Provider Enumeration Date | 06/29/2021 |
| Last Update Date | 06/29/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881264091 | NPI | - | NPPES |
| 260257100 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Primary |
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