Organization
VICTORY CMH CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ADOLFO L NUNEZ RODRIGUEZ (CEO)
(786) 380-9733
Entity
Organization
Contact information
Practice address
2099 W 76TH ST UNIT 13, HIALEAH, FL 33016-1834
(786) 380-9733
Mailing address
2099 W 76TH ST UNIT 13, HIALEAH, FL 33016-1834
(786) 380-9733
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
02/13/2018
Last updated
02/13/2018
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