Organization
MGB BEHAVIORAL HEALTH SERVICES
Active
Other names
M B Behavioral Health Services-LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MISS MARIE G BATEAU M S (CASE MANAGER)
(954) 601-6078
Entity
Organization
Contact information
Practice address
4780 N W 24 COURT, C215, LAUDERHILL, FL 33313
(954) 601-6078
Mailing address
PO BOX 26121, FORT LAUDERDALE, FL 33320-6121
(954) 601-6078
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1588102859
—
FL
Enumeration date
03/13/2018
Last updated
03/17/2018
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