Organization · NPI-2

Advanced Community Wellness Center INC

Community/Behavioral Health · Hialeah, FL

NPI number1720577182
StatusActive
Last updated in NPPESMay 1, 2018

Details

NPI
1720577182
Entity type
Organization (NPI-2)
Legal business name
Advanced Community Wellness Center INC
Organization subpart
No
Enumeration date
May 1, 2018
Last updated
May 1, 2018

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
251S00000X Community/Behavioral Health––Yes

Practice location

20 W 49th St Ste A
Hialeah, FL 33012-3710

Phone 786-337-1997

Mailing address

20 W 49th St Ste A
Hialeah, FL 33012-3710

Phone 786-337-1997

Authorized official

Luis M Rivero
President
7863371997

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