Provider Demographics
NPI:1023601200
Name:GCH COMMUNITY SERVICES INC
Entity type:Organization
Organization Name:GCH COMMUNITY SERVICES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:YAMILA
Authorized Official - Middle Name:
Authorized Official - Last Name:CHANG GOMEZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:786-227-3422
Mailing Address - Street 1:19904 SW 129TH CT
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33177-4248
Mailing Address - Country:US
Mailing Address - Phone:786-227-3422
Mailing Address - Fax:
Practice Address - Street 1:10651 SW 88TH ST STE 120
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33176-1573
Practice Address - Country:US
Practice Address - Phone:786-227-3422
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-02-18
Last Update Date:2021-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)