Organization
CITRUS HEALTH NETWORK
Active
Organization
CITRUS HEALTH NETWORK
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARIO E. JARDON LCSW (CEO & PRESIDENT)
(305) 424-3100
Entity
Organization
Contact information
Practice address
308 E 9TH ST, HIALEAH, FL 33010-4216
(305) 572-7140
(305) 572-7128
Mailing address
4175 W 20TH AVE, HIALEAH, FL 33012-5874
(305) 424-3100
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
060304003
—
FL
Enumeration date
12/21/2010
Last updated
12/21/2010
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