# MENTAL AUTONOMY INC

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

## Provider details

- **NPI number:** 1982170700
- **Authorized official:** LUIS RAFAEL PEROZO (OFFICER)
- **Authorized official phone:** (954) 906-5947

## Contact information

- **Practice address:** 5220 S UNIVERSITY DR STE 201C, DAVIE, FL 33328-5308
- **Practice address phone:** (954) 906-5947
- **Practice address fax:** (786) 329-6876
- **Mailing address:** 5220 S UNIVERSITY DR STE 201C, DAVIE, FL 33328-5308
- **Mailing address phone:** (954) 906-5947
- **Mailing address fax:** (786) 329-6876

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251B00000X | Case Management Agency | — | NULL | Yes |
| 251S00000X | Community/Behavioral Health Agency | — | NULL | — |

## Other

- **Enumeration date:** 10/19/2018
- **Last updated:** 01/29/2026