Organization
ALEGRIA COMMUNITY MENTAL HEALTH, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GLENDA BETANCOURT (OWNER)
(786) 797-3791
Entity
Organization
Contact information
Practice address
2500 NW 79TH AVE STE 265, DORAL, FL 33122-1088
(305) 390-4284
(305) 390-4318
Mailing address
2500 NW 79TH AVE STE 265, DORAL, FL 33122-1088
(305) 390-4284
(305) 390-4318
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
Other
Enumeration date
03/18/2021
Last updated
01/19/2022
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