Organization
HEALING BRIDGE COMMUNITY CENTER CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ENEIDIS ALDAZ FERNANDEZ (PRESIDENT AND EXECUTIVE DIRECTOR)
(786) 616-2026
Entity
Organization
Contact information
Practice address
261 WESTWARD DR STE 202, MIAMI SPRINGS, FL 33166-5208
(786) 616-2026
Mailing address
261 WESTWARD DR STE 202, MIAMI SPRINGS, FL 33166-5208
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
02/09/2021
Last updated
02/09/2021
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