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NPI Code Detail

MEDICARE: S&M BEHAVIOR MANAGER CORP

MEDICARE: S&M BEHAVIOR MANAGER CORP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1251B00000XCase Management Agency
2251S00000XCommunity/Behavioral Health Agency
3261QM0801XMental Health Clinic/Center (Including Community Mental Health Center)

General Provider Information

NPI Number : 1023624004
Entity Type Code : Organization
Provider Name (Legal Business Name) : S&M BEHAVIOR MANAGER CORP
Provider Business Mailing Address
First Line : 4475 SW 8TH ST
Second Line :
City : CORAL GABLES
State : FL
Zip : 33134-2562
Country : US
Telephone Number : 786-660-0149
Fax Number :
Provider Business Practice Location Address
First Line : 4475 SW 8TH ST
Second Line :
City : CORAL GABLES
State : FL
Zip : 33134-2562
Country : US
Telephone Number : 786-558-4621
Fax Number :
Authorized Official
Title or Position : OFFICER
Name : ROSA GIL TOLEDO
Credential :
Telephone Number : 305-615-9823
Provider Enumeration Date : 09/16/2020
Last Update Date : 09/26/2024

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Directions to “S&M BEHAVIOR MANAGER CORP ” Practice Location

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