Organization
ADVANCED COMMUNITY MENTAL HEALTH INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATERINA DE LA VEGA (PRESIDENT)
(305) 469-8440
Entity
Organization
Contact information
Practice address
11093 NW 138TH ST UNIT 210, HIALEAH GARDENS, FL 33018-1192
(305) 469-8440
Mailing address
11093 NW 138TH ST UNIT 210, HIALEAH GARDENS, FL 33018-1192
(305) 469-8440
Taxonomy
Speciality
Code
Description
License number
State
261QC1500X
Community Health Clinic/Center
Primary
—
—
Other
Enumeration date
05/31/2019
Last updated
08/01/2019
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