Organization
HAPPY LONGEVITY CENTER CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MIRIALA GUTIERREZ (V PRESIDENT)
(786) 470-9144
Entity
Organization
Contact information
Practice address
675 NW 62ND ST, MIAMI, FL 33150-4329
(786) 470-9144
Mailing address
675 NW 62ND ST, MIAMI, FL 33150-4329
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
04/08/2021
Last updated
04/08/2021
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