Organization
ALTAMIRA COMMUNITY CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAYSI A HERRERA (OWNER)
(786) 521-2072
Entity
Organization
Contact information
Practice address
12540 NE 8TH AVE, NORTH MIAMI, FL 33161-4965
(786) 521-2072
Mailing address
12540 NE 8TH AVE, NORTH MIAMI, FL 33161-4965
(786) 521-2072
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
Other
Enumeration date
11/05/2020
Last updated
11/09/2020
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