Organization · NPI-2
Advance Theraputic Services INC
Community/Behavioral Health · North Lauderdale, FL
NPI number1275293318
StatusActive
Last updated in NPPESDec 29, 2021
Details
- NPI
- 1275293318
- Entity type
- Organization (NPI-2)
- Legal business name
- Advance Theraputic Services INC
- Organization subpart
- No
- Enumeration date
- Dec 29, 2021
- Certification date
- Dec 29, 2021
- Last updated
- Dec 29, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 251S00000X | Community/Behavioral Health | – | – | Yes |
Other names
- Advance Theraputic Services INC (Doing Business As)
Practice location
7431 Sw 8th CtNorth Lauderdale, FL 33068-2378
Phone 954-270-5626
Mailing address
5456 Nw 122nd DrCoral Springs, FL 33076-3638
Phone 954-270-5626
Authorized official
Julia M Mcdonald
President
9542705626
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