Organization
COMMUNITY SUPPORTING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LUIS R CARRALERO RODRIGUEZ (OWNER/PRESIDENT)
(813) 551-8110
Entity
Organization
Contact information
Practice address
9642 SW 72ND ST, MIAMI, FL 33173-3250
(786) 618-5174
(786) 703-3987
Mailing address
9642 SW 72ND ST, MIAMI, FL 33173-3250
(786) 618-5174
(786) 703-3987
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
06/25/2019
Last updated
08/25/2021
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