Organization
MULTICULTURAL COMMUNITY MENTAL HEALTH CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RAUL HERNANDEZ FABIAN L.M.H.C. (PROGRAM DIRECTOR, PRESIDENT)
(561) 653-6292
Entity
Organization
Contact information
Practice address
2112 S CONGRESS AVE, SUITE 104, PALM SPRINGS, FL 33406-7670
(561) 653-6292
(561) 653-6297
Mailing address
2112 S CONGRESS AVE, SUITE 104, PALM SPRINGS, FL 33406-7670
(561) 653-6292
(561) 653-6297
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
076941000
—
FL
Enumeration date
03/12/2008
Last updated
04/09/2013
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