Organization
JENESA COMMUNITY MENTAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELIRAYDE GONZALEZ CASTELLANOS (CEO)
(786) 631-2364
Entity
Organization
Contact information
Practice address
1800 SW 27TH AVE STE 400, MIAMI, FL 33145-2400
(786) 536-6751
(786) 409-7168
Mailing address
1800 SW 27TH AVE STE 400, MIAMI, FL 33145-2400
(786) 536-6751
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
06/18/2018
Last updated
03/17/2020
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