Therapeutic Alliance Community Mental Health Center Inc | |
6405 Nw 36th St Suite 100 Virginia Gardens FL 33166-6974 | |
(305) 871-3131 | |
(305) 871-2727 |
Full Name | Therapeutic Alliance Community Mental Health Center Inc |
---|---|
Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
Location | 6405 Nw 36th St, Virginia Gardens, Florida |
Authorized Official Name and Position | Dayra L Bodan (PRESIDENT) |
Authorized Official Contact | 3058713131 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Therapeutic Alliance Community Mental Health Center Inc 6405 Nw 36th St Suite 100 Virginia Gardens FL 33166-6974 Ph: (305) 871-3131 | Therapeutic Alliance Community Mental Health Center Inc 6405 Nw 36th St Suite 100 Virginia Gardens FL 33166-6974 Ph: (305) 871-3131 |
NPI Number | 1447295761 |
---|---|
Provider Enumeration Date | 06/19/2006 |
Last Update Date | 03/24/2012 |
Identifier | Type | State | Issuer |
---|---|---|---|
1447295761 | NPI | - | NPPES |
AD431 | Other | FL | PTAN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | HCC7230 (Florida) | Primary |
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