Organization
PROFESIONAL MENTAL HEALTH CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JUAN R REYES (PRESIDENT)
(305) 649-6625
Entity
Organization
Contact information
Practice address
350 NW 27TH AVE, MIAMI, FL 33125-3031
(305) 649-6625
Mailing address
350 NW 27TH AVE, MIAMI, FL 33125-3031
(305) 649-6625
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
11/27/2006
Last updated
08/11/2007
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