Organization
GENESIS COMMUNITY MENTAL HEALTH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
YAILIN MEDINA (ADMINISTRATOR)
(786) 918-9636
Entity
Organization
Contact information
Practice address
6043 NW 167TH ST STE A10, HIALEAH, FL 33015-4322
(786) 918-9636
Mailing address
6043 NW 167TH ST STE A10, HIALEAH, FL 33015-4322
(786) 918-9636
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
10/26/2020
Last updated
10/26/2020
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