# ANTARES MENTAL HEALTH GROUP LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1104571819
- **Authorized official:** JOSE A ESPALTER (CEO)
- **Authorized official phone:** (786) 523-5704

## Contact information

- **Practice address:** 4090 NW 97TH AVE STE 300, DORAL, FL 33178-2380
- **Practice address phone:** (786) 523-5704
- **Mailing address:** 4090 NW 97TH AVE STE 300, DORAL, FL 33178-2380
- **Mailing address phone:** (786) 523-5704

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251B00000X | Case Management Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 02/21/2022
- **Last updated:** 03/19/2025
