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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