| Organization Name: | CARE CENTER FOR MENTAL HEALTH |
| NPI Number: | 1710084165 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | MICHAEL J FUNK (EXECUTIVE DIRECTOR) |
| Mailing Address: | 921140 Overseas Highway Tavernier |
| State: | FL US |
| Postal Code: | 330702100 |
| Phone Number: | 3058533284 |
| Fax Number: | 3058533286 |
| NPI Enumeration Date: | 09/20/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC0700X |
| License Number: | PY3007 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | FL |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | |