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Organization

BLUEGREEN BEHAVIORAL HEALTH CENTER, INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ROBERTO LEON (PRESIDENT)
(786) 518-9231
Entity
Organization

Contact information

Practice address
3900 NW 79TH AVE, SUITE 213, DORAL, FL 33166-6556
(786) 518-9231
Mailing address
3900 NW 79TH AVE, SUITE 213, DORAL, FL 33166-6556
(786) 518-9231

Taxonomy

Speciality
Code
Description
License number
State
302F00000X
Exclusive Provider Organization
Primary
FL

Other

Enumeration date
03/08/2016
Last updated
03/08/2016
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