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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