Organization
RENAISSANCE MENTAL HEALTH SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NOELKYS CARABALLO (MBR)
(786) 663-9914
Entity
Organization
Contact information
Practice address
11285 SW 211TH ST STE 201, CUTLER BAY, FL 33189-2211
(786) 663-9914
Mailing address
11285 SW 211TH ST STE 201, CUTLER BAY, FL 33189-2211
(786) 663-9914
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
02/13/2018
Last updated
02/13/2018
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