Organization
ALTAMIRA COMMUNITY CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAYSI HERRERA MARTINEZ LCSW (MANAGER)
(786) 521-2072
Entity
Organization
Contact information
Practice address
1500 COLONIAL BLVD STE 216, FORT MYERS, FL 33907-1026
(786) 731-6492
Mailing address
12540 NE 8TH AVE, NORTH MIAMI, FL 33161-4965
(786) 731-6492
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
05/24/2022
Last updated
05/24/2022
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