# BLUEGREEN BEHAVIORAL HEALTH CENTER, INC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

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

## Provider details

- **NPI number:** 1578924346
- **Authorized official:** ROBERTO LEON (PRESIDENT)
- **Authorized official phone:** (786) 518-9231

## Contact information

- **Practice address:** 3900 NW 79TH AVE, SUITE 213, DORAL, FL 33166-6556
- **Practice address phone:** (786) 518-9231
- **Mailing address:** 3900 NW 79TH AVE, SUITE 213, DORAL, FL 33166-6556
- **Mailing address phone:** (786) 518-9231

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 302F00000X | Exclusive Provider Organization | — | FL | Yes |

## Other

- **Enumeration date:** 03/08/2016
- **Last updated:** 03/08/2016