Max Community Wellness Center INC
Clinic/Center, Mental Health (Including Community Mental Health Center) in Miami, FL. Organization (NPI-2).
NPI number1013522945
StatusActive
Last updated in NPPESSep 8, 2020
Details
- NPI
- 1013522945
- Entity type
- Organization (NPI-2)
- Legal business name
- Max Community Wellness Center INC
- Organization subpart
- No
- Enumeration date
- Sep 8, 2020
- Certification date
- Sep 8, 2020
- Last updated
- Sep 8, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QM0801X | Clinic/Center, Mental Health (Including Community Mental Health Center) | – | – | Yes |
Practice location
10300 Sunset Dr Ste 164Miami, FL 33173-3002
Phone 786-636-4812
Mailing address
10300 Sunset Dr Ste 164Miami, FL 33173-3002
Phone 786-636-4812
Authorized official
Maylyn Diaz Mendoza
President
7863990106
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