Organization
VIDA COMMUNITY HEALTH CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELIZABETH DELICIO LMHC (OWNER)
(786) 209-3340
Entity
Organization
Contact information
Practice address
8200 NW 41ST ST, DORAL, FL 33166-6205
(786) 209-3340
(786) 204-0692
Mailing address
8200 NW 41ST ST, DORAL, FL 33166-6205
(786) 209-3340
(786) 204-0692
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
101151900
—
FL
Enumeration date
04/08/2021
Last updated
04/08/2021
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