Provider Demographics
NPI:1962041756
Name:COMFORT MENTAL HEALTH LLC
Entity Type:Organization
Organization Name:COMFORT MENTAL HEALTH LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MARIA DE LOS ANGELES
Authorized Official - Middle Name:
Authorized Official - Last Name:CRUZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:786-280-1900
Mailing Address - Street 1:4888 MIAMI GARDENS DR STE 111
Mailing Address - Street 2:
Mailing Address - City:MIAMI GARDENS
Mailing Address - State:FL
Mailing Address - Zip Code:33055-2940
Mailing Address - Country:US
Mailing Address - Phone:786-280-1900
Mailing Address - Fax:
Practice Address - Street 1:4888 MIAMI GARDENS DR STE 111
Practice Address - Street 2:
Practice Address - City:MIAMI GARDENS
Practice Address - State:FL
Practice Address - Zip Code:33055-2940
Practice Address - Country:US
Practice Address - Phone:786-280-1900
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-12-27
Last Update Date:2020-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
No251B00000XAgenciesCase Management