Organization
LATINOS SALUD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHEN FALLON PHD (EXECUTIVE DIRECTOR)
(954) 765-6239
Entity
Organization
Contact information
Practice address
1401 NE 26TH ST, WILTON MANORS, FL 33305-1321
(954) 765-6239
(954) 827-7780
Mailing address
1401 NE 26TH ST, WILTON MANORS, FL 33305-1321
(954) 765-6239
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
05/14/2020
Last updated
08/08/2025
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