MEDICARE: NEW BEGINNING COMMUNITY MENTAL HEALTH CENTER

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
1	261QM0801X	Mental Health Clinic/Center (Including Community Mental Health Center)	HCC6614	FL

General Provider Information

NPI Number	:	1386751287
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NEW BEGINNING COMMUNITY MENTAL HEALTH CENTER

Provider Business Mailing Address
First Line	:	2340 NW 7TH ST
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33125-3249
Country	:	US
Telephone Number	:	305-649-4055
Fax Number	:	305-649-3222

Provider Business Practice Location Address
First Line	:	2340 NW 7TH ST
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33125-3249
Country	:	US
Telephone Number	:	305-649-4055
Fax Number	:	305-649-3222

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MS. OLGA GUTIERREZ
Credential	:
Telephone Number	:	305-649-4055

Provider Enumeration Date	:	08/24/2006
Last Update Date	:	05/29/2014

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