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Organization
HEART AND MIND HEALING CENTER CORP
Active
Organization
HEART AND MIND HEALING CENTER CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. AYINDE REID L.C.S.W. (PRESIDENT)
(561) 404-1422
Entity
Organization
Contact information
Practice address
8399 W OAKLAND PARK BLVD STE A, SUNRISE, FL 33351-7311
(772) 418-1156
(561) 404-1425
Mailing address
8399 W OAKLAND PARK BLVD STE A, SUNRISE, FL 33351-7311
(772) 418-1156
(561) 404-1425
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
261QC1500X
Community Health Clinic/Center
—
—
261QR0401X
Comprehensive Outpatient Rehabilitation Facility (CORF)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
104898
COMMUNITY OUTPATIENT REHABILITATION FACILITY
FL
05
—
82
—
FL
Enumeration date
02/15/2018
Last updated
10/15/2021
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