Provider Demographics
NPI:1093211443
Name:ONE SOUL CMH INC
Entity Type:Organization
Organization Name:ONE SOUL CMH INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:YULEXIS
Authorized Official - Middle Name:
Authorized Official - Last Name:NAVARRO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-389-4214
Mailing Address - Street 1:5901 NW 183RD ST STE 128
Mailing Address - Street 2:
Mailing Address - City:HIALEAH
Mailing Address - State:FL
Mailing Address - Zip Code:33015-6009
Mailing Address - Country:US
Mailing Address - Phone:786-332-4965
Mailing Address - Fax:786-360-4270
Practice Address - Street 1:5901 NW 183RD ST STE 126
Practice Address - Street 2:
Practice Address - City:HIALEAH
Practice Address - State:FL
Practice Address - Zip Code:33015-6009
Practice Address - Country:US
Practice Address - Phone:786-409-4872
Practice Address - Fax:786-360-4270
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-04-04
Last Update Date:2022-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
Yes251B00000XAgenciesCase Management