Provider Demographics
NPI:1033773874
Name:COMMUNITY MENTAL HEALTH OF MIAMI, INC
Entity Type:Organization
Organization Name:COMMUNITY MENTAL HEALTH OF MIAMI, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:YAIMA
Authorized Official - Middle Name:
Authorized Official - Last Name:BONET
Authorized Official - Suffix:
Authorized Official - Credentials:APRN
Authorized Official - Phone:786-355-2714
Mailing Address - Street 1:185 SW 7TH ST APT 2101
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33130-2973
Mailing Address - Country:US
Mailing Address - Phone:786-355-2714
Mailing Address - Fax:
Practice Address - Street 1:900 W 49TH ST STE 424
Practice Address - Street 2:
Practice Address - City:HIALEAH
Practice Address - State:FL
Practice Address - Zip Code:33012-3487
Practice Address - Country:US
Practice Address - Phone:786-355-2714
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-04-26
Last Update Date:2019-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health