Organization · NPI-2

Altamira Community Center LLC

Case Management · North Miami, FL

NPI number1912508912
StatusActive
Last updated in NPPESNov 9, 2020

Details

NPI
1912508912
Entity type
Organization (NPI-2)
Legal business name
Altamira Community Center LLC
Organization subpart
No
Enumeration date
Nov 5, 2020
Certification date
Nov 9, 2020
Last updated
Nov 9, 2020

Taxonomy and licenses

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

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

Phone 786-521-2072

Authorized official

Daysi A Herrera
Owner
7865212072

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