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Organization
DOUGLAS GARDENS COMMUNITY MENTAL HEALTH CENTER OF MIAMI BEACH, INC.
Active
Organization
DOUGLAS GARDENS COMMUNITY MENTAL HEALTH CENTER OF MIAMI BEACH, INC.
Active
Other names
Douglas Gardens CMHC
Organization subpart
No
Provider details
NPI number
Authorized official
LARRY J LONG MACC (CFO)
(305) 531-5341
Entity
Organization
Contact information
Practice address
1680 MERIDIAN AVE, SUITE 501, MIAMI BEACH, FL 33139
(305) 531-5341
(305) 532-5322
Mailing address
1680 MERIDIAN AVE STE 501, MIAMI BEACH, FL 33139-2719
(305) 531-5341
(305) 532-5322
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
KH909
FL
251B00000X
Case Management Agency
KH909
FL
251S00000X
Community/Behavioral Health Agency
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
KH909
FL
310500000X
Mental Illness Intermediate Care Facility
KH909
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
060289200
—
FL
05
—
060289201
—
FL
05
—
060289203
—
FL
05
—
090289204
—
FL
05
—
100730100
—
FL
Enumeration date
02/14/2006
Last updated
08/15/2018
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