Provider Demographics
NPI:1609407204
Name:SAFE MENTAL BEHAVIOR WELLNESS COMMUNITY CORP
Entity Type:Organization
Organization Name:SAFE MENTAL BEHAVIOR WELLNESS COMMUNITY CORP
Other - Org Name:VALENTUS MEDICAL CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:DANIEL
Authorized Official - Middle Name:
Authorized Official - Last Name:C. CRUZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:786-796-1200
Mailing Address - Street 1:4751 W 4TH AVE
Mailing Address - Street 2:
Mailing Address - City:HIALEAH
Mailing Address - State:FL
Mailing Address - Zip Code:33012-3938
Mailing Address - Country:US
Mailing Address - Phone:305-713-5536
Mailing Address - Fax:
Practice Address - Street 1:4751 W 4TH AVE
Practice Address - Street 2:
Practice Address - City:HIALEAH
Practice Address - State:FL
Practice Address - Zip Code:33012-3938
Practice Address - Country:US
Practice Address - Phone:305-713-5536
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:VALENTUS MEDICAL CENTER
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2020-02-01
Last Update Date:2023-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care
No251S00000XAgenciesCommunity/Behavioral Health