Organization
L.A. MENTAL HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAZARO ARIEL COLLADO (OWNER)
(786) 712-6680
Entity
Organization
Contact information
Practice address
14411 COMMERCE WAY STE 201, MIAMI LAKES, FL 33016-1598
(786) 712-6680
Mailing address
14411 COMMERCE WAY STE 201, MIAMI LAKES, FL 33016-1598
(786) 712-6680
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
—
—
261QC1500X
Community Health Clinic/Center
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
06/09/2020
Last updated
06/09/2020
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