Organization
ATLANTIC MENTAL HEALTH PROGRAM, INC
Active
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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