Organization
JCW MENTAL HEALTH LLC
Active
Other names
JCW MENTAL HEALTH LLC
Organization subpart
No
Provider details
NPI number
Authorized official
CHABELY D TAPANES PRADO (PRESIDENT)
(786) 695-2202
Entity
Organization
Contact information
Practice address
7392 NW 35TH TER STE 303, MIAMI, FL 33122-1260
(786) 695-2202
(786) 536-7615
Mailing address
19812 SW 121ST AVE, MIAMI, FL 33177-4355
(786) 695-2202
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
08/05/2021
Last updated
01/12/2023
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