Organization
FLORIDA BEHAVIORAL CENTER, INC
Active
Organization
FLORIDA BEHAVIORAL CENTER, INC
Active
Other names
FLORIDA HEALTHCARE SYSTEM
Organization subpart
No
Provider details
NPI number
Authorized official
YESSENIA MARTINEZ (PRESIDENT)
(786) 420-5924
Entity
Organization
Contact information
Practice address
1905 NW 82ND AVE, DORAL, FL 33126-1011
(786) 420-5924
(786) 542-5340
Mailing address
1905 NW 82ND AVE, DORAL, FL 33126-1011
(786) 420-5924
(786) 542-5340
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
1301
FL
101YM0800X
Mental Health Counselor
—
—
103K00000X
Behavior Analyst
—
—
106H00000X
Marriage & Family Therapist
—
—
251B00000X
Case Management Agency
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
253Z00000X
In Home Supportive Care Agency
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
261QP2300X
Primary Care Clinic/Center
—
—
261QR1100X
Research Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009785300
—
FL
Enumeration date
10/07/2013
Last updated
07/21/2022
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