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Eternity Medical Group Corp
Adult Mental Health Clinic/Center in Miami, Florida
NPI 1083216022

Eternity Medical Group Corp is an Adult Mental Health Clinic/Center based in Miami, FL and is specialized in Adult Mental Health. Eternity Medical Group Corp practices in Miami, FL. The NPI Number for Eternity Medical Group Corp is 1083216022 and holds a License No. (Florida).

The current practice location address for Eternity Medical Group Corp is 900 Sw 8Th St Ste C1, Miami, FL and can be reached out via phone at 786-332-3136 and via fax at 305-726-0013.

Location: 900 Sw 8Th St Ste C1, Miami, FL, 33130-3756
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1083216022
Provider Name
Eternity Medical Group Corp
Credential
Provider Entity Type
Organization
Address
900 Sw 8Th St Ste C1, Miami, FL, 33130-3756
Phone Number
786-332-3136
Fax Number
305-726-0013
Provider Enumeration Date
11/13/2020
Last Update Date
03/13/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
13052 01 FL HEALTH CARE CLINIC STANDARD LICENSE
108835400 05 FL
institution
Provider Business Practice Location Address Details
Address
900 Sw 8Th St Ste C1
City
Miami
State
Florida
Zip
33130-3756
Phone Number
786-332-3136
Fax Number
305-726-0013
person
Provider Business Mailing Address Details
Address
900 Sw 8Th St Ste C1
City
Miami
State
Florida
Zip
33130-3756
Phone Number
786-332-3136
Fax Number
305-726-0013
person
Provider's Taxonomy Details 1
Type
Agencies
Classification
Community/Behavioral Health
Speciality
-
Taxonomy
251S00000X
License No.
()
Definition
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
person
Provider's Taxonomy Details 2
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
-
Taxonomy
261Q00000X
License No.
()
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
person
Provider's Taxonomy Details 3
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Mental Health (Including Community Mental Health Center)
Taxonomy
261QM0801X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 4
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Adult Mental Health
Taxonomy
261QM0850X
License No.
()
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.
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