| Behavioral Growth Center Aba. Llc | |
|
123 Tuscarora St Lakeland FL 33805-2956 | |
| (863) 738-4919 | |
| Not Available |
| Full Name | Behavioral Growth Center Aba. Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 123 Tuscarora St, Lakeland, Florida |
| Authorized Official Name and Position | Roxana Marrero (MANAGER) |
| Authorized Official Contact | 8637384919 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Behavioral Growth Center Aba. Llc 123 Tuscarora St Lakeland FL 33805-2956 Ph: () - | Behavioral Growth Center Aba. Llc 123 Tuscarora St Lakeland FL 33805-2956 Ph: (863) 738-4919 |
| NPI Number | 1326874850 |
|---|---|
| Provider Enumeration Date | 09/11/2024 |
| Last Update Date | 09/11/2024 |
| Certification Date | 09/11/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326874850 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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