Organization
HEART AND MIND HEALING CENTER CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. AYINDE REID L.C.S.W. (PRESIDENT)
(561) 404-1422
Entity
Organization
Contact information
Practice address
8399 W OAKLAND PARK BLVD STE A, SUNRISE, FL 33351-7311
(772) 418-1156
(561) 404-1425
Mailing address
8399 W OAKLAND PARK BLVD STE A, SUNRISE, FL 33351-7311
(772) 418-1156
(561) 404-1425
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
261QC1500X
Community Health Clinic/Center
—
—
261QR0401X
Comprehensive Outpatient Rehabilitation Facility (CORF)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
104898
COMMUNITY OUTPATIENT REHABILITATION FACILITY
FL
05
—
82
—
FL
Enumeration date
02/15/2018
Last updated
10/15/2021
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