Organization
GARDEN GENERAL SERVICE CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS BARBARA GONZALEZ (OWNER/ADMINISTRATOR)
(305) 614-1172
Entity
Organization
Contact information
Practice address
10021 SW 40TH ST, MIAMI, FL 33165-3945
(305) 614-1172
(305) 640-5705
Mailing address
10021 SW 40TH ST, MIAMI, FL 33165-3945
(305) 614-1172
(305) 640-5705
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
261Q00000X
Clinic/Center
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
MA67461
FL
Other
Enumeration date
06/18/2012
Last updated
03/16/2020
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