# COMMUNITY BEHAVIORAL MANAGEMENT,INC

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

## Provider details

- **NPI number:** 1790493104
- **Authorized official:** LIDICE GISEL CARRILLO CABRERA (PRESIDENT)
- **Authorized official phone:** (954) 589-2539

## Contact information

- **Practice address:** 3 SW 129TH AVE STE 203, PEMBROKE PINES, FL 33027-1779
- **Practice address phone:** (954) 589-2539
- **Mailing address:** 9440 NW 35TH CT, MIAMI, FL 33147-2730

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LP2300X | Primary Care Nurse Practitioner | — | NULL | Yes |
| 363LP2300X | Primary Care Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 11/14/2022
- **Last updated:** 11/14/2022