Organization
MIMA S BEHAVIOR HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANA J DIAZ GOICOLEA (PRESIDENT)
(786) 916-4474
Entity
Organization
Contact information
Practice address
7392 NW 35TH TER STE 302, MIAMI, FL 33122-1260
(786) 916-4474
Mailing address
7392 NW 35TH TER STE 302, MIAMI, FL 33122-1260
(786) 916-4474
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
04/20/2021
Last updated
04/20/2021
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