Organization
PRO COMMUNITY SERVICES CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
IDIANA HERNANDEZ (PRESIDENT)
(786) 370-1904
Entity
Organization
Contact information
Practice address
3750 W 16TH AVE STE 138U, HIALEAH, FL 33012-4661
(786) 881-0010
(305) 200-5631
Mailing address
3750 W 16TH AVE STE 138U, HIALEAH, FL 33012-4661
(786) 881-0010
(305) 200-5631
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
09/04/2020
Last updated
12/18/2024
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