# RENAISSANCE MENTAL HEALTH SERVICES LLC

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

## Provider details

- **NPI number:** 1578063970
- **Authorized official:** NOELKYS CARABALLO (MBR)
- **Authorized official phone:** (786) 663-9914

## Contact information

- **Practice address:** 11285 SW 211TH ST STE 201, CUTLER BAY, FL 33189-2211
- **Practice address phone:** (786) 663-9914
- **Mailing address:** 11285 SW 211TH ST STE 201, CUTLER BAY, FL 33189-2211
- **Mailing address phone:** (786) 663-9914

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251B00000X | Case Management Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 02/13/2018
- **Last updated:** 02/13/2018