Organization
SAINT JUDE MENTAL HEALTH CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MAURICIO L LOPEZ (VICE PRESIDENT)
(305) 835-8535
Entity
Organization
Contact information
Practice address
444 E 25TH ST, HIALEAH, FL 33013-3811
(305) 835-8535
(305) 835-8737
Mailing address
444 E 25TH ST, HIALEAH, FL 33013-3811
(305) 835-8535
(305) 835-8737
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
HCC6812
FL
Other
Enumeration date
07/10/2006
Last updated
08/22/2020
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