Organization
ADVANCE MENTAL CARE CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DENIA LAZO SANTALLA (PRESIDENT)
(786) 227-0804
Entity
Organization
Contact information
Practice address
12240 NW 7TH TRL, MIAMI, FL 33182-2408
(786) 334-7536
Mailing address
12240 NW 7TH TRL, MIAMI, FL 33182-2408
(786) 334-7536
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
06/01/2020
Last updated
06/01/2020
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