Organization
MEMBERSHIP THERAPY CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DORCAS IRIS DE JESUS (REGISTERED AGENT)
(786) 413-8487
Entity
Organization
Contact information
Practice address
10680 SW 186TH ST UNIT 36, CUTLER BAY, FL 33157-6720
(305) 969-9448
Mailing address
10680 SW 186TH ST STE 36, CUTLER BAY, FL 33157-6720
(305) 969-9448
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
MH6847
FL
Other
Enumeration date
11/13/2007
Last updated
02/20/2009
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