Provider Demographics
NPI:1871299313
Name:CFM THERAPEUTIC GROUP LLC
Entity type:Organization
Organization Name:CFM THERAPEUTIC GROUP LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CINIRA
Authorized Official - Middle Name:
Authorized Official - Last Name:FERNANDEZ MANSO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-332-5249
Mailing Address - Street 1:11455 SW 57TH TER
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33173-1009
Mailing Address - Country:US
Mailing Address - Phone:305-332-5249
Mailing Address - Fax:
Practice Address - Street 1:11455 SW 57TH TER
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33173-1009
Practice Address - Country:US
Practice Address - Phone:305-332-5249
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-02-06
Last Update Date:2023-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Multi-Specialty