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Organization

ASC COMMUNITY MENTAL HEALTH CORP

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ZANNIA FABIOLA FALERO VIGOA (V.P.)
(786) 768-0184
Entity
Organization

Contact information

Practice address
2460 SW 137TH AVE STE 254, MIAMI, FL 33175-6399
(786) 768-0184
Mailing address
2460 SW 137TH AVE STE 254, MIAMI, FL 33175-6399

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)

Other

Enumeration date
01/29/2019
Last updated
02/27/2019
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