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Organization
SUPREME MENTHAL HEALTH SERVICES INC
Active
Organization
SUPREME MENTHAL HEALTH SERVICES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MASIEL CHAVIANO HUERTA (OWNER)
(786) 306-9980
Entity
Organization
Contact information
Practice address
705 E 8TH AVE STE 201, HIALEAH, FL 33010-4613
(786) 306-9980
Mailing address
705 E 8TH AVE STE 201, HIALEAH, FL 33010-4613
(786) 306-9980
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
07/20/2020
Last updated
07/25/2024
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