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Organization

COMMUNITY MENTAL HEALTH AND WELLNESS CENTER INC

Active
Other names
Community Mental Health and Wellness Center of Doral Inc
Organization subpart
No

Provider details

NPI number
Authorized official
MS. DELIA ROSA KENNEDY (ADMINISTRATOR)
(786) 556-1397
Entity
Organization

Contact information

Practice address
9300 NW 25TH ST STE 106, DORAL, FL 33172-1506
(786) 320-7603
Mailing address
9300 NW 25TH ST STE 106, DORAL, FL 33172-1506
(786) 320-7602

Taxonomy

Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
HCC11306
AHCA
FL
Enumeration date
08/23/2017
Last updated
07/21/2022
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