Provider Demographics
NPI:1437785722
Name:BEHAVIORAL HEALTH CASE MANAGER INC
Entity Type:Organization
Organization Name:BEHAVIORAL HEALTH CASE MANAGER INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ALBERTO
Authorized Official - Middle Name:
Authorized Official - Last Name:LEYVA HERNANDEZ
Authorized Official - Suffix:
Authorized Official - Credentials:CBHCM
Authorized Official - Phone:305-833-1015
Mailing Address - Street 1:2837 W 75TH ST
Mailing Address - Street 2:
Mailing Address - City:HIALEAH
Mailing Address - State:FL
Mailing Address - Zip Code:33018-5314
Mailing Address - Country:US
Mailing Address - Phone:305-833-1015
Mailing Address - Fax:
Practice Address - Street 1:16551 NW 27TH AVE
Practice Address - Street 2:
Practice Address - City:MIAMI GARDENS
Practice Address - State:FL
Practice Address - Zip Code:33054-6411
Practice Address - Country:US
Practice Address - Phone:305-833-1015
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-03-18
Last Update Date:2020-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management