| NPI | 1811778624 |
|---|---|
| Former Legal Business Name | ALPHA THERAPY CENTER INC |
| Entity Type | Organization |
| Authorized Contact | MAYLIN NURQUE MARTINEZ Owner 305-603-9202 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2023-10-09 |
| Last Update Date | 2024-07-31 |