Organization
GOLDEN YEARS BEHAVIORAL CENTER CORP
Active
Organization
GOLDEN YEARS BEHAVIORAL CENTER CORP
Active
Other names
GOLDEN YEARS BEHAVIORAL CENTER CORP
Organization subpart
No
Provider details
NPI number
Authorized official
GLEYS J PEREZ MARTINEZ (VP)
(702) 690-0319
Entity
Organization
Contact information
Practice address
12955 SW 42ND ST STE 2, MIAMI, FL 33175-2928
(859) 803-3561
Mailing address
12955 SW 42ND ST STE 2, MIAMI, FL 33175-2928
(786) 491-4947
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
251B00000X
Case Management Agency
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
10/22/2020
Last updated
04/13/2023
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