Organization
FAMILY FIRST COMMUNITY MENTAL HEALTH CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JESUS M QUILES (PRESIDENT)
(305) 244-2036
Entity
Organization
Contact information
Practice address
12001 SW 128TH CT, SUITE 102, MIAMI, FL 33186-4665
(305) 244-2036
Mailing address
12001 SW 128TH CT, SUITE 102, MIAMI, FL 33186-4665
(305) 244-2036
(305) 602-5987
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
014541400
—
FL
Enumeration date
09/24/2014
Last updated
08/19/2015
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