NPI | 1356998637 |
---|---|
Doing Business As | ADVANCED CHILDRENS THERAPY |
Entity Type | Organization |
Authorized Contact | MARLYE GONZALEZ ALFONSO Administrator 561-260-1316 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
Additional Taxonomies | 208000000X Pediatrics |
252Y00000X Early Intervention Provider Agency | |
261Q00000X Clinic/Center | |
261QD1600X Clinic/Center, Developmental Disabilities | |
Enumeration Date | 2019-08-21 |
Last Update Date | 2023-02-26 |