Provider Demographics
NPI:1659925501
Name:SOAR COMMUNITY MENTAL HEALTH CENTER INC
Entity Type:Organization
Organization Name:SOAR COMMUNITY MENTAL HEALTH CENTER INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:
Authorized Official - First Name:ARIEL
Authorized Official - Middle Name:
Authorized Official - Last Name:VAZQUEZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:786-800-0748
Mailing Address - Street 1:8360 W FLAGLER ST STE 102
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33144-2042
Mailing Address - Country:US
Mailing Address - Phone:786-601-7909
Mailing Address - Fax:
Practice Address - Street 1:8360 W FLAGLER ST STE 102
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33144-2042
Practice Address - Country:US
Practice Address - Phone:786-601-7909
Practice Address - Fax:786-349-5647
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-07-30
Last Update Date:2023-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
No251B00000XAgenciesCase Management