Organization
CDM BEHAVIORAL MANAGEMENT LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAINERIS VALERA RIVERO (BUSINESS MANAGER)
(305) 804-4708
Entity
Organization
Contact information
Practice address
1250 W 53RD ST APT 18, HIALEAH, FL 33012-3086
(305) 804-4708
Mailing address
1250 W 53RD ST APT 18, HIALEAH, FL 33012-3086
(305) 804-4708
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2004201983
—
FL
Enumeration date
07/08/2020
Last updated
07/08/2020
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