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Organization

MARVELOUS BEHAVIORAL CARE CENTER CORP

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MARLEN GONZALEZ (OWNER)
(305) 812-9123
Entity
Organization

Contact information

Practice address
1125 NE 125TH ST STE 231, NORTH MIAMI, FL 33161-5034
(305) 989-9307
(305) 221-8415
Mailing address
1125 NE 125TH ST STE 231, NORTH MIAMI, FL 33161-5034
(305) 989-9307
(305) 221-8415

Taxonomy

Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary

Other

Enumeration date
12/08/2017
Last updated
06/20/2018
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