Organization · NPI-2
Ajm Behavior Wellness Center, Co
Community/Behavioral Health · Coral Gables, FL
NPI number1013742717
StatusActive
Last updated in NPPESSep 4, 2024
Details
- NPI
- 1013742717
- Entity type
- Organization (NPI-2)
- Legal business name
- Ajm Behavior Wellness Center, Co
- Organization subpart
- No
- Enumeration date
- Sep 4, 2024
- Certification date
- Sep 4, 2024
- Last updated
- Sep 4, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 251S00000X | Community/Behavioral Health | – | – | Yes |
Other names
- Ajm Behavior Wellness Center, Co (Former Legal Business Name)
Practice location
306 Alcazar Ave Ste 200Coral Gables, FL 33134-4318
Phone 305-967-8725 · Fax 305-967-8446
Mailing address
306 Alcazar Ave Ste 200Coral Gables, FL 33134-4318
Phone 305-967-8725 · Fax 305-967-8446
Authorized official
Marieta Manresa
Chief Staff
7863543505
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