Organization
SOCRA HEALTH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RAIZA JIMENEZ (PRESIDENT)
(786) 828-4884
Entity
Organization
Contact information
Practice address
409 S DIXIE HWY STE 6, LAKE WORTH, FL 33460-4405
(561) 568-1584
Mailing address
2250 PALM BEACH LAKES BLVD STE 106C, WEST PALM BEACH, FL 33409-3407
(786) 828-4884
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
Other
Enumeration date
12/10/2020
Last updated
11/09/2022
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