Organization
MENTAL THERAPY REHABILITATION 2020 CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LIXANDRA P QUINTOSA (PRESIDENT)
(786) 815-0900
Entity
Organization
Contact information
Practice address
12485 SW 137TH AVE STE 202, MIAMI, FL 33186-4217
(786) 815-0900
Mailing address
12485 SW 137TH AVE STE 202, MIAMI, FL 33186-4217
(786) 815-0900
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
261Q00000X
Clinic/Center
—
—
Other
Enumeration date
03/23/2021
Last updated
03/23/2021
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