Provider Demographics
NPI:1306010103
Name:CARE CENTER FOR MENTAL HEALTH
Entity Type:Organization
Organization Name:CARE CENTER FOR MENTAL HEALTH
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR CCMH PROGRAMS AT MCDC
Authorized Official - Prefix:MS
Authorized Official - First Name:JOANN
Authorized Official - Middle Name:CHRISTINE
Authorized Official - Last Name:BRANCEL
Authorized Official - Suffix:
Authorized Official - Credentials:BA, CMHP
Authorized Official - Phone:305-293-7346
Mailing Address - Street 1:5501 COLLEGE RD
Mailing Address - Street 2:
Mailing Address - City:KEY WEST
Mailing Address - State:FL
Mailing Address - Zip Code:33040-4307
Mailing Address - Country:US
Mailing Address - Phone:305-293-7346
Mailing Address - Fax:305-293-7444
Practice Address - Street 1:5501 COLLEGE RD
Practice Address - Street 2:
Practice Address - City:KEY WEST
Practice Address - State:FL
Practice Address - Zip Code:33040-4307
Practice Address - Country:US
Practice Address - Phone:305-293-7346
Practice Address - Fax:305-293-7444
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-04-14
Last Update Date:2008-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health