| Lighthouse Cmhc | |
|
1704 Nw 7th St Miami FL 33125-3502 | |
| (305) 541-2600 | |
| (305) 541-2222 |
| Full Name | Lighthouse Cmhc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1704 Nw 7th St, Miami, Florida |
| Authorized Official Name and Position | Michael A Mendoza (CEO) |
| Authorized Official Contact | 3055412600 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lighthouse Cmhc 1704 Nw 7th St Miami FL 33125-3502 Ph: (305) 541-2600 | Lighthouse Cmhc 1704 Nw 7th St Miami FL 33125-3502 Ph: (305) 541-2600 |
| NPI Number | 1427277946 |
|---|---|
| Provider Enumeration Date | 04/24/2007 |
| Last Update Date | 04/15/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427277946 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| 261QR0405X | Clinic/center - Rehabilitation, Substance Use Disorder | (* (Not Available)) | Secondary |
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