Organization
MARLAY CASE MANAGEMENT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUSANA LAY TEJEDA I CBHCMS (PRESIDENT)
(305) 562-4396
Entity
Organization
Contact information
Practice address
11410 N KENDALL DR, MIAMI, FL 33176-1031
(305) 562-4396
Mailing address
11410 N KENDALL DR, MIAMI, FL 33176-1031
(305) 562-4396
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
251S00000X
Community/Behavioral Health Agency
—
—
261QC1500X
Community Health Clinic/Center
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
Other
Enumeration date
09/03/2021
Last updated
09/03/2021
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