Organization
PUBLIC HEALTH TRUST OF DADE COUNTY FLORIDA
Active
Other names
Jackson North Community Mental Health Center-Med Waiver
Organization subpart
No
Provider details
NPI number
Authorized official
MELIDA AKITI LCSW (DIRECTOR)
(786) 466-2710
Entity
Organization
Contact information
Practice address
20201 NW 37TH AVE, MIAMI GARDENS, FL 33056-1755
(786) 466-2700
(786) 466-2748
Mailing address
20201 NW 37TH AVE, MIAMI GARDENS, FL 33056-1755
(786) 466-2700
(786) 466-2748
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
142202200
—
FL
Enumeration date
10/07/2008
Last updated
10/07/2008
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