# MARLAY CASE MANAGEMENT

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

## Provider details

- **NPI number:** 1992473870
- **Authorized official:** SUSANA LAY TEJEDA I CBHCMS (PRESIDENT)
- **Authorized official phone:** (305) 562-4396

## Contact information

- **Practice address:** 11410 N KENDALL DR, MIAMI, FL 33176-1031
- **Practice address phone:** (305) 562-4396
- **Mailing address:** 11410 N KENDALL DR, MIAMI, FL 33176-1031
- **Mailing address phone:** (305) 562-4396

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251B00000X | Case Management Agency | — | NULL | Yes |
| 251S00000X | Community/Behavioral Health Agency | — | NULL | — |
| 261QC1500X | Community Health Clinic/Center | — | NULL | — |
| 261QM0850X | Adult Mental Health Clinic/Center | — | NULL | — |

## Other

- **Enumeration date:** 09/03/2021
- **Last updated:** 09/03/2021