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Organization

ALPHA COMMUNITY MENTAL HEALTH CENTER INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. MARIA MUSSINI (PRESIDENT)
(305) 264-3225
Entity
Organization

Contact information

Practice address
7811 SW 24TH ST, SUITE 137, MIAMI, FL 33155-6540
(305) 264-3225
(305) 264-4838
Mailing address
7811 SW 24TH ST, SUITE 137, MIAMI, FL 33155-6540
(305) 264-3225
(305) 264-4838

Taxonomy

Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
HCC8610
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
FV223A
MEDICARE PART B PTAN
FL
Enumeration date
11/18/2011
Last updated
04/10/2012
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