Sweetwater Community Mental Health Center LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

SWEETWATER COMMUNITY MENTAL HEALTH CENTER LLC

Practice address

1414 NW 107TH Ave Ste 301
Sweetwater, FL 33172-2742

Phone

(786) 486-4114

NPI assigned

Nov 4, 2020

Organization subpart

No

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

Authorized official

Name

Mr. Joseph Maya

Title

Ambr

Phone

(786) 486-4114

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1604448000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1604448000000",
    "number": "1518568633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1414 NW 107TH AVE STE 301",
            "city": "SWEETWATER",
            "state": "FL",
            "postal_code": "331722742",
            "telephone_number": "786-486-4114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1414 NW 107TH AVE STE 301",
            "city": "SWEETWATER",
            "state": "FL",
            "postal_code": "331722742",
            "telephone_number": "786-486-4114"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SWEETWATER COMMUNITY MENTAL HEALTH CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-04",
        "last_updated": "2020-11-04",
        "certification_date": "2020-11-04",
        "status": "A",
        "authorized_official_last_name": "MAYA",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_title_or_position": "AMBR",
        "authorized_official_telephone_number": "786-486-4114",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Community/Behavioral Health Agency in Sweetwater, FL
• Providers in Sweetwater, FL by specialty
• Community/Behavioral Health Agency in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2020; 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.