Organization
VIVIFY D & P COMMUNITY MENTAL HEALTH CARE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ODALYS DIAZ PEREZ (PRESIDENT)
(786) 333-9460
Entity
Organization
Contact information
Practice address
7420 SW 48TH ST STE A, MIAMI, FL 33155-4415
(786) 755-2615
Mailing address
7420 SW 48TH ST STE A, MIAMI, FL 33155-4415
(786) 755-2615
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
12/20/2020
Last updated
12/20/2020
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