# ADVANCE MENTAL CARE CENTER INC

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

## Provider details

- **NPI number:** 1528682069
- **Authorized official:** DENIA LAZO SANTALLA (PRESIDENT)
- **Authorized official phone:** (786) 227-0804

## Contact information

- **Practice address:** 12240 NW 7TH TRL, MIAMI, FL 33182-2408
- **Practice address phone:** (786) 334-7536
- **Mailing address:** 12240 NW 7TH TRL, MIAMI, FL 33182-2408
- **Mailing address phone:** (786) 334-7536

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251B00000X | Case Management Agency | — | NULL | — |
| 261QM0801X | Mental Health Clinic/Center (Including Community Mental Health Center) | — | NULL | Yes |

## Other

- **Enumeration date:** 06/01/2020
- **Last updated:** 06/01/2020