Targeted Cm | |
2300 W 84th St Suite 204 Hialeah FL 33016-5770 | |
(786) 666-0418 | |
Not Available |
Full Name | Targeted Cm |
---|---|
Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
Location | 2300 W 84th St, Hialeah, Florida |
Authorized Official Name and Position | Louis Robaina (PRESIDENT) |
Authorized Official Contact | 7866660418 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Targeted Cm 2300 W 84th St Suite 204 Hialeah FL 33016-5770 Ph: (786) 666-0418 | Targeted Cm 2300 W 84th St Suite 204 Hialeah FL 33016-5770 Ph: (786) 666-0418 |
NPI Number | 1124418264 |
---|---|
Provider Enumeration Date | 01/28/2015 |
Last Update Date | 01/28/2015 |
Identifier | Type | State | Issuer |
---|---|---|---|
1124418264 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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