| Manitiss Mental Health Inc | |
|
7340 Sw 48th St Miami FL 33155-5520 | |
| (305) 846-9775 | |
| (305) 982-8637 |
| Full Name | Manitiss Mental Health Inc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 7340 Sw 48th St, Miami, Florida |
| Authorized Official Name and Position | Maidelin Puertos Gonzalez (PRESIDENT) |
| Authorized Official Contact | 3058469775 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Manitiss Mental Health Inc 7340 Sw 48th St Miami FL 33155-5520 Ph: (305) 846-9775 | Manitiss Mental Health Inc 7340 Sw 48th St Miami FL 33155-5520 Ph: (305) 846-9775 |
| NPI Number | 1932706538 |
|---|---|
| Provider Enumeration Date | 10/06/2020 |
| Last Update Date | 10/06/2020 |
| Certification Date | 10/06/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932706538 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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