Organization
ALASAKE MENTAL HEALTH SERVICES CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALFONSO ALFONSO (PRESIDENT)
(786) 205-8684
Entity
Organization
Contact information
Practice address
2500 NW 79TH AVE STE 191A, MIAMI, FL 33122-1084
(786) 401-7579
(786) 409-5790
Mailing address
2500 NW 79TH AVE STE 191, DORAL, FL 33122-1084
(786) 631-3152
(786) 631-3140
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
P236200827620
FL
261QP2300X
Primary Care Clinic/Center
—
—
Other
Enumeration date
05/15/2018
Last updated
12/19/2023
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