Organization
IDEA COMMUNITY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LEGNA RIO (OWNER)
(786) 257-6184
Entity
Organization
Contact information
Practice address
7855 NW 12TH ST STE 207, DORAL, FL 33126-1819
(786) 257-6184
Mailing address
7855 NW 12TH ST STE 207, DORAL, FL 33126-1819
(786) 257-6184
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
08/09/2021
Last updated
08/09/2021
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