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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