Provider Demographics
NPI:1396501029
Name:VM BEHAVIOR GROUP LLC
Entity type:Organization
Organization Name:VM BEHAVIOR GROUP LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MARIBEL
Authorized Official - Middle Name:
Authorized Official - Last Name:GARCIA GARCIA
Authorized Official - Suffix:
Authorized Official - Credentials:CBHCMS0102683
Authorized Official - Phone:980-900-7876
Mailing Address - Street 1:2150 W 76TH ST STE 118
Mailing Address - Street 2:
Mailing Address - City:HIALEAH
Mailing Address - State:FL
Mailing Address - Zip Code:33016-1887
Mailing Address - Country:US
Mailing Address - Phone:786-636-6952
Mailing Address - Fax:786-391-2357
Practice Address - Street 1:2150 W 76TH ST STE 118
Practice Address - Street 2:
Practice Address - City:HIALEAH
Practice Address - State:FL
Practice Address - Zip Code:33016-1887
Practice Address - Country:US
Practice Address - Phone:786-636-6952
Practice Address - Fax:786-391-2357
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-02-21
Last Update Date:2024-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QD1600XAmbulatory Health Care FacilitiesClinic/CenterDevelopmental Disabilities
No104100000XBehavioral Health & Social Service ProvidersSocial WorkerGroup - Single Specialty