Jackson North Community Mental Health Center-Med Waiver
LBN: Public Health Trust Of Dade County Florida
Jackson North Community Mental Health Center-Med Waiver is an health care organization with primary practice located at 20201 Nw 37Th Ave , Miami Gardens FL 33056-1755. The organization recently has only one registered license in Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center), which is considered as the primary health care specialty.
Public Health Trust Of Dade County Florida can be contacted via phone (786) 466-2700, or through Akiti, Melida via phone (786) 466-2710.
Contact Information
Primary practice address
20201 Nw 37Th Ave
Miami Gardens FL 33056-1755
Phone: (786) 466-2700
Fax: (786) 466-2748
Website:
Authorized official contact:
Name: Akiti, Melida Licensed Clinical Social Worker (LCSW)
Phone: (786) 466-2710
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) | 261QM0801X |
Profile Details
| NPI number | 1831340900 |
|---|---|
| LBN Legal business name | Public Health Trust Of Dade County Florida |
| DBA Doing business as | Jackson North Community Mental Health Center-Med Waiver |
| Authorized official | Akiti, Melida Licensed Clinical Social Worker (LCSW) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Oct 7th, 2008 |
| Last updated | Oct 7th, 2008 - about 16 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1831340900 | NPPES |
| Florida | MEDICAID | 142202200 |
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