Organization · NPI-2

American Therapeutic Corporation

Clinic/Center, Mental Health (Including Community Mental Health Center) · Boca Raton, FL

NPI number1174554950
StatusActive
Last updated in NPPESAug 22, 2020

Details

NPI
1174554950
Entity type
Organization (NPI-2)
Legal business name
American Therapeutic Corporation
Organization subpart
No
Enumeration date
Jul 6, 2006
Last updated
Aug 22, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center)HCC3296FLYes

Practice location

717 E Palmetto Park Rd
Boca Raton, FL 33432-5103

Phone 561-361-8427 · Fax 561-447-9614

Mailing address

1801 Ne 2nd Ave
Miami, FL 33132-1000

Phone 305-371-5777

Authorized official

Marianella Valera
President And Ceo
3053715777

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