Organization
BEACON COMMUNITY WELLNESS CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERTO BALMASEDA (PRESIDENT)
(305) 733-5714
Entity
Organization
Contact information
Practice address
14221 SW 120TH ST STE 223, MIAMI, FL 33186-4225
(786) 690-2296
Mailing address
14221 SW 120TH ST STE 223, MIAMI, FL 33186-4225
(786) 690-2296
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
08/01/2025
Last updated
08/01/2025
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