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Organization
MI LUZ BEHAVIORAL WELLNESS INC
Active
Organization
MI LUZ BEHAVIORAL WELLNESS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LUZ BOLIVAR (PRESIDENT)
(305) 431-6782
Entity
Organization
Contact information
Practice address
12241 SW 114TH TER, MIAMI, FL 33186-5003
(305) 431-6782
Mailing address
12241 SW 114TH TER, MIAMI, FL 33186-5003
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
10/04/2024
Last updated
10/04/2024
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