Organization
LA SAGRADA FAMILIA MEDICAL CENTER INC
Active
Other names
La Sagrada Familia Mental Health
Organization subpart
No
Provider details
NPI number
Authorized official
AILEN CRUZ BERGON (PRESIDENT)
(786) 615-2843
Entity
Organization
Contact information
Practice address
7270 NW 12TH ST STE 430, MIAMI, FL 33126-1941
(786) 615-2843
(786) 980-1607
Mailing address
7270 NW 12TH ST STE 430, MIAMI, FL 33126-1941
(786) 615-2843
(786) 980-1607
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
11/12/2020
Last updated
10/18/2022
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