Organization
MEDI NURSE BEHAVIORAL SOLUTIONS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHARLENE M GRECSEK EDD, LMHC (PROGRAM DIRECTOR)
(954) 484-0051
Entity
Organization
Contact information
Practice address
6175 NW 167TH ST, SUITE G-15, MIAMI, FL 33015-4339
(305) 824-8880
(954) 485-4452
Mailing address
2800 W OAKLAND PARK BLVD, SUITE 206, OAKLAND PARK, FL 33311-1370
(954) 484-0051
(954) 485-4452
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
209943
AMERIGROUP PROVIDER NUM
FL
Enumeration date
05/11/2006
Last updated
07/21/2022
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