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Organization

PRIMARY MDPSYCH LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MIRYAM ARJONA LCSW (OWNER)
(561) 420-6419
Entity
Organization

Contact information

Practice address
11015 LEGACY LN APT 203, PALM BEACH GARDENS, FL 33410-3612
(561) 420-6419
Mailing address
55 BONNIE DR, MANALAPAN, NJ 07726-1858
(561) 420-6419

Taxonomy

Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
261QM0855X
Adolescent and Children Mental Health Clinic/Center
261QP2300X
Primary Care Clinic/Center

Other

Enumeration date
01/06/2022
Last updated
01/06/2022
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