Provider Demographics
NPI:1881363802
Name:C AND M BEHAVIORAL LLC
Entity type:Organization
Organization Name:C AND M BEHAVIORAL LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:CRISTINA
Authorized Official - Middle Name:
Authorized Official - Last Name:BEJAR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:954-681-5228
Mailing Address - Street 1:6941 TAYLOR ST
Mailing Address - Street 2:
Mailing Address - City:HOLLYWOOD
Mailing Address - State:FL
Mailing Address - Zip Code:33024-7455
Mailing Address - Country:US
Mailing Address - Phone:954-681-5228
Mailing Address - Fax:
Practice Address - Street 1:6941 TAYLOR ST
Practice Address - Street 2:
Practice Address - City:HOLLYWOOD
Practice Address - State:FL
Practice Address - Zip Code:33024-7455
Practice Address - Country:US
Practice Address - Phone:954-681-5228
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-09-13
Last Update Date:2021-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty