Organization
CUTLER BAY MENTAL HEALTH CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAYANAIS LOPEZ CASABELLA (PRESIDENT)
(786) 925-7297
Entity
Organization
Contact information
Practice address
10665 SW 190TH ST STE 32133214, CUTLER BAY, FL 33157-7651
(786) 925-7297
Mailing address
10665 SW 190TH ST STE 32133214, CUTLER BAY, FL 33157-7651
(786) 925-7297
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
781324
—
FL
Enumeration date
03/10/2020
Last updated
03/10/2020
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