Organization
WELLNESS COMMUNITY SERVICES ORG INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EMILIO MANTERO-ATIENZA MD (PRESIDENT)
(786) 238-7099
Entity
Organization
Contact information
Practice address
1901 SW 1ST ST FL 2, MIAMI, FL 33135-1601
(786) 238-7099
Mailing address
1901 SW 1ST ST FL 2, MIAMI, FL 33135-1601
(786) 238-7099
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
08/07/2019
Last updated
08/07/2019
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