Organization
INTERNAL IMPACT, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARIO GARCIA JR. LMHC (CLINICAL DIRECTOR)
(786) 255-2747
Entity
Organization
Contact information
Practice address
10751 SW 104TH ST, MIAMI, FL 33176-8164
(305) 480-5800
(786) 534-9559
Mailing address
10751 SW 104TH ST, MIAMI, FL 33176-8164
(305) 480-5800
(786) 534-9559
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
04/03/2020
Last updated
04/03/2020
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