Organization
G.A MEDICAL GROUP, INC.
Active
Other names
G.A Behavioral Health Group
Organization subpart
No
Provider details
NPI number
Authorized official
ANDREA LOZADA GRANADOS (CEO)
(833) 833-1225
Entity
Organization
Contact information
Practice address
1483 NW 7TH AVE, MIAMI, FL 33136-1448
(833) 633-1225
Mailing address
1483 NW 7TH AVE, MIAMI, FL 33136-1448
(833) 633-1225
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)
—
—
261QM1300X
Multi-Specialty Clinic/Center
—
—
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
—
—
302F00000X
Exclusive Provider Organization
—
—
3336C0002X
Clinic Pharmacy
—
—
Other
Enumeration date
09/19/2019
Last updated
09/29/2019
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