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Organization
LA SAGRADA FAMILIA MEDICAL CENTER INC
Active
Organization
LA SAGRADA FAMILIA MEDICAL CENTER INC
Active
Other names
La Sagrada Familia Mental Health
Organization subpart
No
Provider details
NPI number
Authorized official
AILEN CRUZ BERGON (PRESIDENT)
(786) 615-2843
Entity
Organization
Contact information
Practice address
7270 NW 12TH ST STE 430, MIAMI, FL 33126-1941
(786) 615-2843
(786) 980-1607
Mailing address
7270 NW 12TH ST STE 430, MIAMI, FL 33126-1941
(786) 615-2843
(786) 980-1607
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
11/12/2020
Last updated
10/18/2022
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