Organization
CASTE GROUP COMMUNITY CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ODALYS HERNANDEZ (OFFICE MANAGER)
(305) 962-4907
Entity
Organization
Contact information
Practice address
5200 SW 8TH ST, CORAL GABLES, FL 33134-2384
(305) 962-4907
Mailing address
15091 SW 18TH TER, MIAMI, FL 33185-5685
(305) 962-4907
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
02/03/2021
Last updated
10/28/2022
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