Organization
EQUILIBRIUM MENTAL HEALTH SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT MORALES GAINZA APRN (PRESIDENT)
(786) 556-6625
Entity
Organization
Contact information
Practice address
12750 SW 128TH ST, MIAMI, FL 33186-5379
(786) 664-7319
Mailing address
12750 SW 128TH ST, MIAMI, FL 33186-5379
(786) 664-7319
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Enumeration date
03/22/2023
Last updated
03/22/2023
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