Organization
ST THERESA COMMUNITY MENTAL HEALTH CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALFREDO S. MARTINEZ LMHC (PRESIDENT)
(305) 825-8110
Entity
Organization
Contact information
Practice address
7000 W 12TH AVE, SUITE 17, HIALEAH, FL 33014-5154
(305) 825-8110
(305) 825-8185
Mailing address
7000 W 12TH AVE, SUITE 17, HIALEAH, FL 33014-5154
(305) 825-8110
(305) 825-8185
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
07/20/2006
Last updated
02/04/2008
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