Organization
MEMBERSHIP THERAPY CENTER, C.M.H.C., INC.
Active
Organization
MEMBERSHIP THERAPY CENTER, C.M.H.C., INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DORCAS IRIS DE JESUS MS STUDENT (OFFICE MANAGER /REGISTERED AGENT)
(786) 413-8487
Entity
Organization
Contact information
Practice address
10680 SW 186TH ST STE 36, CUTLER BAY, FL 33157-6720
(305) 969-9448
(305) 969-9748
Mailing address
10680 SW 186TH ST STE 36, CUTLER BAY, FL 33157-6720
(305) 969-9448
(305) 969-9748
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
MH4025
FL
Other
Enumeration date
07/26/2010
Last updated
11/02/2010
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