Organization
CRYSTAL MIND BEHAVIORAL INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GRETEL LOYOLA HERRERA (AUTHORIZED OFFICIAL)
(786) 707-8599
Entity
Organization
Contact information
Practice address
11890 SW 8TH ST STE 401, MIAMI, FL 33184-1710
(786) 707-8599
Mailing address
11890 SW 8TH ST STE 401, MIAMI, FL 33184-1710
(786) 707-8599
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
08/02/2024
Last updated
08/02/2024
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