Gordium Trauma Recovery, LLC
Community/Behavioral Health in Delray Beach, FL. Organization (NPI-2).
NPI number1487100533
StatusActive
Last updated in NPPESAug 29, 2016
Details
- NPI
- 1487100533
- Entity type
- Organization (NPI-2)
- Legal business name
- Gordium Trauma Recovery, LLC
- Organization subpart
- No
- Enumeration date
- Aug 29, 2016
- Last updated
- Aug 29, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 251S00000X | Community/Behavioral Health | PA9108944 | FL | Yes |
Practice location
4723 W Atlantic AveDelray Beach, FL 33445-3895
Phone 156-156-2067 · Fax 156-126-5567
Mailing address
4723 W Atlantic Ave Ste A11Delray Beach, FL 33445-3895
Phone 156-156-2067 · Fax 561-265-5673
Authorized official
Arpana Shivdasani
Physicians Assistant
15615620674
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