Organization
ALAENS SERVICE INC
Active
Other names
Exxcel Mental Health Services INC
Organization subpart
No
Provider details
NPI number
Authorized official
ALAEN GOMEZ (AUTHORIZED OFFICIAL)
(786) 853-7829
Entity
Organization
Contact information
Practice address
15321 NW 60TH AVE, MIAMI LAKES, FL 33014-2484
(786) 853-7829
Mailing address
15321 NW 60TH AVE, MIAMI LAKES, FL 33014-2484
(786) 853-7829
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
LICNESE
131175
FL
Enumeration date
04/01/2021
Last updated
04/12/2021
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