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Organization
THE PEACEFUL MIND FACTORY
Active
Organization
THE PEACEFUL MIND FACTORY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANA MARIA LOPEZ MEDRANO (OWNER)
(786) 663-3983
Entity
Organization
Contact information
Practice address
3408 W 84TH ST STE 305, HIALEAH, FL 33018-4943
(786) 663-3983
(786) 803-8838
Mailing address
1165 NW 184TH WAY, PEMBROKE PINES, FL 33029-3633
(786) 663-3983
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
253Z00000X
In Home Supportive Care Agency
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
Other
Enumeration date
07/15/2019
Last updated
07/15/2019
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