# EMDA MENTAL HEALTH CENTER, LLC

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

## Provider details

- **NPI number:** 1356929087
- **Authorized official:** RAY FERNANDEZ RN (OWNER)
- **Authorized official phone:** (786) 343-4822

## Contact information

- **Practice address:** 7270 NW 12TH ST STE 400, MIAMI, FL 33126-1941
- **Practice address phone:** (786) 343-4822
- **Mailing address:** 7270 NW 12TH ST STE 400, MIAMI, FL 33126-1941

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QC1500X | Community Health Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 04/01/2021
- **Last updated:** 04/02/2021