| Ag Therapy Clinic Inc | |
|
2910 Conner Ln Kissimmee FL 34741-7722 | |
| (305) 498-9760 | |
| Not Available |
| Full Name | Ag Therapy Clinic Inc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 2910 Conner Ln, Kissimmee, Florida |
| Authorized Official Name and Position | Yvonne Rodriguez (CHIEF FINANCIAL OFFICER) |
| Authorized Official Contact | 3054989760 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ag Therapy Clinic Inc 2910 Conner Ln Kissimmee FL 34741-7722 Ph: (305) 498-9760 | Ag Therapy Clinic Inc 2910 Conner Ln Kissimmee FL 34741-7722 Ph: (305) 498-9760 |
| NPI Number | 1497304398 |
|---|---|
| Provider Enumeration Date | 09/04/2019 |
| Last Update Date | 12/03/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497304398 | NPI | - | NPPES |
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