Organization
INNOVATIVE COMMUNITY OUTREACH INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HERMAN V MCLEAN (CEO)
(786) 277-2552
Entity
Organization
Contact information
Practice address
17121 NW 9TH PL, MIAMI, FL 33169-5252
(786) 277-2552
Mailing address
17121 NW 9TH PL, MIAMI, FL 33169-5252
(786) 277-2552
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
06/10/2021
Last updated
06/10/2021
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