Provider Demographics
NPI:1336900174
Name:COMMUNITY FOCUS MENTAL HEALTH SERVICES LLC
Entity Type:Organization
Organization Name:COMMUNITY FOCUS MENTAL HEALTH SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:YDARIS
Authorized Official - Middle Name:
Authorized Official - Last Name:RIVERA ALVAREZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:786-384-2125
Mailing Address - Street 1:1250 SW 27TH AVE STE 507
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33135-4751
Mailing Address - Country:US
Mailing Address - Phone:786-803-8539
Mailing Address - Fax:
Practice Address - Street 1:1250 SW 27TH AVE STE 507
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33135-4751
Practice Address - Country:US
Practice Address - Phone:786-803-8539
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-01-18
Last Update Date:2024-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health