Provider Demographics
NPI:1598271868
Name:COBO HOME HEALTH SERVICES CORP
Entity Type:Organization
Organization Name:COBO HOME HEALTH SERVICES CORP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LMHC
Authorized Official - Prefix:MR
Authorized Official - First Name:CRISTOBAL JAVIER
Authorized Official - Middle Name:
Authorized Official - Last Name:GONZALEZ
Authorized Official - Suffix:
Authorized Official - Credentials:MH 7884
Authorized Official - Phone:786-615-2514
Mailing Address - Street 1:1570 W 38TH PL UNIT 12
Mailing Address - Street 2:
Mailing Address - City:HIALEAH
Mailing Address - State:FL
Mailing Address - Zip Code:33012-7041
Mailing Address - Country:US
Mailing Address - Phone:786-615-2514
Mailing Address - Fax:786-637-2914
Practice Address - Street 1:1570 W 38TH PL UNIT 12
Practice Address - Street 2:
Practice Address - City:HIALEAH
Practice Address - State:FL
Practice Address - Zip Code:33012-7041
Practice Address - Country:US
Practice Address - Phone:786-615-2514
Practice Address - Fax:786-637-2914
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-12-21
Last Update Date:2020-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Multi-Specialty