Organization
GOLDEN MENTAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
YANIRYS MACHADO MARTINEZ (ADMINISTRATOR)
(786) 970-6206
Entity
Organization
Contact information
Practice address
777 NW 72ND AVE STE 1112AND, MIAMI, FL 33126-3009
(786) 401-6286
Mailing address
777 NW 72ND AVE STE 1112AND, MIAMI, FL 33126-3009
(786) 401-6286
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
01/19/2021
Last updated
08/11/2021
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