Organization · NPI-2

Altamira Community Center LLC

Clinic/Center, Mental Health (Including Community Mental Health Center) · North Miami, FL

NPI number1750996096
StatusActive
Last updated in NPPESMay 12, 2021

Details

NPI
1750996096
Entity type
Organization (NPI-2)
Legal business name
Altamira Community Center LLC
Organization subpart
No
Enumeration date
Sep 14, 2020
Certification date
May 12, 2021
Last updated
May 12, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center)––Yes
251B00000X Case Management––

Practice location

12540 Ne 8th Ave
North Miami, FL 33161-4965

Phone 786-521-2072

Mailing address

12540 Ne 8th Ave
North Miami, FL 33161-4965

Authorized official

Daysi Alina Herrera Martinez
President
7865212072

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