Organization
COMMUNITY BEHAVIORAL MANAGEMENT,INC
Active
Organization
COMMUNITY BEHAVIORAL MANAGEMENT,INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LIDICE CARRILLO (CEO)
(954) 589-2539
Entity
Organization
Contact information
Practice address
3 SW 129TH AVE STE 203, PEMBROKE PINES, FL 33027-1779
(954) 589-2539
Mailing address
9440 NW 35TH CT, MIAMI, FL 33147-2730
Taxonomy
Speciality
Code
Description
License number
State
103TB0200X
Cognitive & Behavioral Psychologist
Primary
—
—
Other
Enumeration date
07/22/2021
Last updated
02/19/2022
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