Organization
MENTAL HEALTHNETWORK , INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROXANA VALDERRAMA (PRESIDENT)
(786) 255-7979
Entity
Organization
Contact information
Practice address
124 SE 1ST RD UNIT A, HOMESTEAD, FL 33030-7357
(786) 255-7979
(786) 258-9772
Mailing address
124 SE 1ST RD UNIT A, HOMESTEAD, FL 33030-7357
(786) 255-7979
(786) 258-9772
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
105045200
—
FL
Enumeration date
04/26/2018
Last updated
04/29/2021
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