Organization
SHINING STAR BEHAVIORAL SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
OSMANNY HERRERA (PRESIDENT)
(786) 439-5798
Entity
Organization
Contact information
Practice address
18000 NW 2ND CT, MIAMI, FL 33169-4306
(786) 439-5798
(305) 974-2834
Mailing address
18000 NW 2ND CT, MIAMI, FL 33169-4306
(786) 439-5798
(305) 974-2834
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
12/11/2017
Last updated
12/11/2017
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