Organization
BEHAVIOR & MENTAL HOPE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LIEN PEREZ REYES (AUTHORIZED OFFICAL)
(786) 848-7091
Entity
Organization
Contact information
Practice address
17670 NW 78TH AVE STE 114, HIALEAH, FL 33015-3665
(786) 848-7091
Mailing address
17670 NW 78TH AVE STE 114, HIALEAH, FL 33015-3665
(786) 848-7091
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
LICENSE
2021038322
FL
Enumeration date
04/19/2021
Last updated
04/19/2021
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