| Victory Cmh Corp | |
|
2099 W 76th St Unit 13 Hialeah FL 33016-1834 | |
| (786) 380-9733 | |
| Not Available |
| Full Name | Victory Cmh Corp |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 2099 W 76th St Unit 13, Hialeah, Florida |
| Authorized Official Name and Position | Adolfo L Nunez Rodriguez (CEO) |
| Authorized Official Contact | 7863809733 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Victory Cmh Corp 2099 W 76th St Unit 13 Hialeah FL 33016-1834 Ph: (786) 380-9733 | Victory Cmh Corp 2099 W 76th St Unit 13 Hialeah FL 33016-1834 Ph: (786) 380-9733 |
| NPI Number | 1407356751 |
|---|---|
| Provider Enumeration Date | 02/13/2018 |
| Last Update Date | 02/13/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407356751 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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