Healthcare Provider Details

I. General information

NPI: 1023601200
Provider Name (Legal Business Name): GCH COMMUNITY SERVICES INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/18/2021
Last Update Date: 02/18/2021
Certification Date: 02/18/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10651 SW 88TH ST STE 120
MIAMI FL
33176-1573
US

IV. Provider business mailing address

19904 SW 129TH CT
MIAMI FL
33177-4248
US

V. Phone/Fax

Practice location:
  • Phone: 786-227-3422
  • Fax:
Mailing address:
  • Phone: 786-227-3422
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State

VIII. Authorized Official

Name: YAMILA CHANG GOMEZ
Title or Position: OWNER
Credential:
Phone: 786-227-3422