Organization
BEHAVIORAL WELLNESS INC.
Active
Other names
Behavioral Wellness, Inc.
Organization subpart
No
Provider details
NPI number
Authorized official
ANA LOURDES MARTIN-HIDALGO (ADMINISTRATOR)
(305) 512-8689
Entity
Organization
Contact information
Practice address
9425 SUNSET DR STE 164, MIAMI, FL 33173-3290
(786) 638-4550
(305) 512-8608
Mailing address
9425 SUNSET DR STE 164, MIAMI, FL 33173-3290
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
106210600
—
FL
Enumeration date
09/08/2021
Last updated
09/08/2021
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