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Organization

VITALIZE HEALTH COMMUNITY MENTAL CORP

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. JENNIFER RIVERO RIVERO (PRESIDENT)
(786) 660-0283
Entity
Organization

Contact information

Practice address
6355 SW 8TH ST STE 2E, WEST MIAMI, FL 33144-4858
(786) 660-0283
Mailing address
6355 SW 8TH ST STE 2E, WEST MIAMI, FL 33144-4858
(786) 660-0283

Taxonomy

Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
251S00000X
Community/Behavioral Health Agency
Primary
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
124851200
FL
Enumeration date
06/27/2024
Last updated
04/13/2026
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