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Organization

GRANDMA BEHAVIOR SOLUTION CORP

Active
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Organization

GRANDMA BEHAVIOR SOLUTION CORP

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MAYRA A AVILA (OWNER)
(786) 342-5800
Entity
Organization

Contact information

Practice address
10300 SW 72ND ST STE 250, MIAMI, FL 33173-3014
(786) 342-5800
Mailing address
10300 SW 72ND ST STE 250, MIAMI, FL 33173-3014

Taxonomy

Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary

Other

Enumeration date
05/21/2024
Last updated
05/21/2024
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