Organization
ELDER LIFE MENTAL HEALTH INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BETSY GUEVARA RUIZ (PRESIDENT)
(786) 830-4316
Entity
Organization
Contact information
Practice address
18140-18142 S.W. 97TH AVENUE, PALMETTO BAY, FL 33157
(786) 830-4316
Mailing address
18140-18142 S.W. 97TH AVENUE, PALMETTO BAY, FL 33157
(786) 830-4316
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
08/10/2021
Last updated
07/20/2022
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