Organization
MINDFUL RENEW CENTER CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LUIS HERNANDEZ (PRESIDENT)
(786) 250-3040
Entity
Organization
Contact information
Practice address
10700 CARIBBEAN BLVD STE 402, CUTLER BAY, FL 33189-1232
(786) 202-7107
Mailing address
10700 CARIBBEAN BLVD STE 402, CUTLER BAY, FL 33189-1232
(786) 202-7107
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
06/27/2024
Last updated
06/27/2024
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