Organization
COGNITIVE HEALTH INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LISSETTE LLANES PSY.D. (PRESIDENT/LICENSED PSYCHOLOGIST)
(786) 797-4630
Entity
Organization
Contact information
Practice address
7620 BEACHVIEW DR, NORTH BAY VILLAGE, FL 33141-4008
(786) 797-4630
Mailing address
7620 BEACHVIEW DR, NORTH BAY VILLAGE, FL 33141-4008
(786) 797-4630
Taxonomy
Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
Primary
PY6182
FL
Other
Enumeration date
11/29/2010
Last updated
11/29/2010
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