Organization
WILSON COMMUNITY HEALTH CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JASMEKA MONAE WILSON LMFT (CEO)
(786) 398-1511
Entity
Organization
Contact information
Practice address
780 FISHERMAN ST, OPA LOCKA, FL 33054-3806
(786) 398-1511
Mailing address
18135 NW 25TH CT, MIAMI GARDENS, FL 33056-3632
(786) 398-1511
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
10/31/2018
Last updated
10/31/2018
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