# MENTIS BEHAVIORAL CENTER INC

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

## Provider details

- **NPI number:** 1386222362
- **Authorized official:** OCTAVIO RODRIGUEZ (MNGR)
- **Authorized official phone:** (786) 431-5267

## Contact information

- **Practice address:** 10021 SW 40TH ST, MIAMI, FL 33165-3945
- **Practice address phone:** (305) 857-7779
- **Mailing address:** 10021 SW 40TH ST, MIAMI, FL 33165-3945
- **Mailing address phone:** (305) 857-7779

## Taxonomy

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

## Other

- **Enumeration date:** 03/31/2021
- **Last updated:** 03/31/2021