Organization
AVANTAGE BEHAVIORAL HEALTH SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MARNEL THELUSMA (PRESIDENT)
(954) 226-2812
Entity
Organization
Contact information
Practice address
18690 NW 2ND AVE, 100, MIAMI GARDENS, FL 33169-4508
(754) 423-9194
Mailing address
PO BOX 268175, WESTON, FL 33326-8175
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
02/11/2017
Last updated
02/11/2017
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