Organization
PSY ELDER CARE CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NELSON ANGEL DIAZ MORGADO (PRESIDENT)
(786) 525-6350
Entity
Organization
Contact information
Practice address
5399 NW 36TH ST UNIT C, MIAMI SPRINGS, FL 33166-5913
(786) 525-6350
Mailing address
5399 NW 36TH ST UNIT C, MIAMI SPRINGS, FL 33166-5913
(786) 525-6350
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
01/13/2021
Last updated
04/20/2021
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