Organization
GENESIS MENTAL HEALTH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MAYRELIS PRIETO (PRESIDENT)
(786) 202-5536
Entity
Organization
Contact information
Practice address
4888 NW 183RD ST STE 108, MIAMI GARDENS, FL 33055-2939
(786) 202-5536
Mailing address
4888 NW 183RD ST STE 108, MIAMI GARDENS, FL 33055-2939
(786) 202-5536
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
01/30/2021
Last updated
12/14/2021
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