Organization
ATLANTIC MENTAL HEALTH PROGRAM, INC
Active
Other names
Homestead Behavioral Clinic, HBC
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. AIDELYN LOPEZ (PRESIDENT ADMINISTRATOR)
(305) 248-3488
Entity
Organization
Contact information
Practice address
654 NE 9TH PL, HOMESTEAD, FL 33030
(305) 248-3488
(305) 248-3488
Mailing address
654 NE 9TH PL, HOMESTEAD, FL 33030-4934
(305) 248-3488
(305) 248-3488
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
251S00000X
Community/Behavioral Health Agency
Primary
HCC4181
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004814500
—
FL
Enumeration date
06/29/2006
Last updated
06/07/2018
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