Organization
KETER BEHAVIORAL CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RAQUEL B MENDEZ (MANAGER)
(305) 620-4929
Entity
Organization
Contact information
Practice address
5190 NW 167TH ST, MIAMI GARDENS, FL 33014-6328
(305) 620-4929
(305) 620-4954
Mailing address
5190 NW 167TH ST, MIAMI GARDENS, FL 33014-6328
(305) 620-4929
(305) 620-4954
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
HCC6938
FL
Other
Enumeration date
11/06/2007
Last updated
11/06/2007
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