Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Multi-Specialty |
261QM1300X | 70 | Clinic or Group Practice | |
Adolescent and Children Mental Health |
261QM0855X | |||
Adult Mental Health |
261QM0850X | |||
Mental Health (Including Community Mental Health Center) |
261QM0801X | B4[14] | Community Mental Health Center | |
Occupational Medicine |
261QX0100X | |||
Physical Therapy |
261QP2000X | |||
Psychologist |
103T00000X | 62 | Psychologist, Clinical | |
Rehabilitation, Substance Use Disorder Unit |
276400000X | |||
Substance Abuse Disorder Rehabilitation Facility |
324500000X | |||
Substance Abuse Treatment, Children |
3245S0500X |
| NPI # | 1063217909 |
| LBN Legal business name | DIAGNOSIS MENTAL HEALTH CLINIC'S LLC |
| Authorized official | VICTOR HERNANDEZ - (CLINICAL PSYCHOLOGIST) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | 02/14/2025 |
| Last updated | 02/18/2025 - More than a year ago |
| Identifiers | n/a |
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