Organization Active NPI

Ajm Behavior Wellness Center, Co

  • Community/Behavioral Health Agency
  • Coral Gables, FL
National Provider Identifier
1013742717
Registry record updated Sep 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
AJM BEHAVIOR WELLNESS CENTER, CO
Practice address
306 Alcazar Ave Ste 200
Coral Gables, FL 33134-4318
Phone
(305) 967-8725
Fax
(305) 967-8446
NPI assigned
Sep 4, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Marieta Manresa, PHD
Title
Chief Staff
Phone
(786) 354-3505

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

306 Alcazar Ave Ste 200
Coral Gables, FL 33134-4318

Mailing address

306 Alcazar Ave Ste 200
Coral Gables, FL 33134-4318
Phone (305) 967-8725

Other names 1

  • AJM BEHAVIOR WELLNESS CENTER, CO Former legal business name

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1725408000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1725408000000",
    "number": "1013742717",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "306 ALCAZAR AVE STE 200",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331344318",
            "telephone_number": "305-967-8725",
            "fax_number": "305-967-8446"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "306 ALCAZAR AVE STE 200",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331344318",
            "telephone_number": "305-967-8725",
            "fax_number": "305-967-8446"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AJM BEHAVIOR WELLNESS CENTER, CO",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-04",
        "last_updated": "2024-09-04",
        "certification_date": "2024-09-04",
        "status": "A",
        "authorized_official_last_name": "MANRESA",
        "authorized_official_first_name": "MARIETA",
        "authorized_official_title_or_position": "CHIEF STAFF",
        "authorized_official_telephone_number": "786-354-3505",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "AJM BEHAVIOR WELLNESS CENTER, CO",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Coral Gables, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.