| Lago Mental Health Corp | |
|
11055 Sw 186th St Ste 207 Cutler Bay FL 33157-6842 | |
| (786) 483-5523 | |
| Not Available |
| Full Name | Lago Mental Health Corp |
|---|---|
| Speciality | Clinic/center - Community Health |
| Location | 11055 Sw 186th St Ste 207, Cutler Bay, Florida |
| Authorized Official Name and Position | Adlay Lago (AUTHORIZED OFFICAL) |
| Authorized Official Contact | 7864835523 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lago Mental Health Corp 11055 Sw 186th St Ste 207 Cutler Bay FL 33157-6842 Ph: (786) 483-5523 | Lago Mental Health Corp 11055 Sw 186th St Ste 207 Cutler Bay FL 33157-6842 Ph: (786) 483-5523 |
| NPI Number | 1073192258 |
|---|---|
| Provider Enumeration Date | 04/06/2021 |
| Last Update Date | 04/06/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073192258 | NPI | - | NPPES |
| LICENSE | Other | FL | 7318060 |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QC1500X | Clinic/center - Community Health | (* (Not Available)) | Primary |
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