Provider First Line Business Practice Location Address:
1695 NW 9TH AVENUE ROOM 3100 (D-29)
Provider Second Line Business Practice Location Address:
PSYCHIATRY-MENTAL HEALTH HOSPITAL CENTER (MHHC)
Provider Business Practice Location Address City Name:
MIAMI
Provider Business Practice Location Address State Name:
FL
Provider Business Practice Location Address Postal Code:
33136-1005
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
305-355-8260
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
04/27/2011