| Interventions-fl | |
|
612 Ne 22nd Dr Wilton Manors FL 33305-2118 | |
| (443) 310-8753 | |
| Not Available |
| Full Name | Interventions-fl |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 612 Ne 22nd Dr, Wilton Manors, Florida |
| Authorized Official Name and Position | Roger Riley (OWNER) |
| Authorized Official Contact | 4433108753 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Interventions-fl 612 Ne 22nd Dr Wilton Manors FL 33305-2118 Ph: (443) 310-8753 | Interventions-fl 612 Ne 22nd Dr Wilton Manors FL 33305-2118 Ph: (443) 310-8753 |
| NPI Number | 1144066234 |
|---|---|
| Provider Enumeration Date | 07/08/2024 |
| Last Update Date | 07/08/2024 |
| Certification Date | 07/08/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144066234 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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