All State Community Mental Health Center, Llc | |
18503 Pines Blvd Suite 308 Pembroke Pines FL 33029-1404 | |
(954) 251-2702 | |
Not Available |
Full Name | All State Community Mental Health Center, Llc |
---|---|
Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
Location | 18503 Pines Blvd, Pembroke Pines, Florida |
Authorized Official Name and Position | Beatrice Fernandez (OWNER) |
Authorized Official Contact | 9542398959 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
All State Community Mental Health Center, Llc 18503 Pines Blvd Suite 308 Pembroke Pines FL 33029-1404 Ph: (954) 251-2702 | All State Community Mental Health Center, Llc 18503 Pines Blvd Suite 308 Pembroke Pines FL 33029-1404 Ph: (954) 251-2702 |
NPI Number | 1225410178 |
---|---|
Provider Enumeration Date | 06/26/2015 |
Last Update Date | 03/16/2021 |
Certification Date | 03/16/2021 |
Identifier | Type | State | Issuer |
---|---|---|---|
1225410178 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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