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Organization

ADVANCED RECOVERY & COUNSELING LLC

Active
Other names
ARC Mental Health
Organization subpart
No

Provider details

NPI number
Authorized official
LUIS BERNARDO BOTERO (ADMINISTRATOR)
(786) 246-8292
Entity
Organization

Contact information

Practice address
14400 NW 77TH CT STE 100, MIAMI LAKES, FL 33016-1590
(786) 916-6073
Mailing address
14400 NW 77TH CT STE 100, MIAMI LAKES, FL 33016-1590
(786) 916-6073

Taxonomy

Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
251B00000X
Case Management Agency
Primary
251S00000X
Community/Behavioral Health Agency

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
104616600
FL
05
107662100
FL
Enumeration date
05/20/2021
Last updated
08/17/2022
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