Organization
DOUGLAS GARDENS COMMUNITY MENTAL HEALTH CENTER OF MIAMI BEACH, INC.
Active
Other names
Douglas Gardens CMHC
Organization subpart
No
Provider details
NPI number
Authorized official
LARRY J LONG MACC (CFO)
(305) 531-5341
Entity
Organization
Contact information
Practice address
1680 MERIDIAN AVE, SUITE 501, MIAMI BEACH, FL 33139
(305) 531-5341
(305) 532-5322
Mailing address
1680 MERIDIAN AVE STE 501, MIAMI BEACH, FL 33139-2719
(305) 531-5341
(305) 532-5322
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
KH909
FL
251B00000X
Case Management Agency
KH909
FL
251S00000X
Community/Behavioral Health Agency
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
KH909
FL
310500000X
Mental Illness Intermediate Care Facility
KH909
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
060289200
—
FL
05
—
060289201
—
FL
05
—
060289203
—
FL
05
—
090289204
—
FL
05
—
100730100
—
FL
Enumeration date
02/14/2006
Last updated
08/15/2018
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