Organization Name: | HEALTHY CONNECTIONS CMHC, INC. |
NPI Number: | 1063843381 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | DREW EDWARDS (BILLING MANAGER) |
Mailing Address: | 2780 Sw 37th Ave Ste 206 Coconut Grove |
State: | FL US |
Postal Code: | 331332740 |
Phone Number: | 3056460112 |
Fax Number: | |
NPI Enumeration Date: | 12/12/2013 |
NPI Last Update Date: | 12/12/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QR0405X |
License Number: | 1113AD360101 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Rehabilitation, Substance Use Disorder |
Taxonomy Definition: |