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Organization
TRUE LIFE BEHAVIORAL CENTER INC
Active
Organization
TRUE LIFE BEHAVIORAL CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. IDALMIS RODRIGUEZ MSW (AUTHORIZED OFFICAL)
(786) 216-9484
Entity
Organization
Contact information
Practice address
5600 SW 135TH AVE STE 207, MIAMI, FL 33183-5101
(786) 216-9484
(786) 866-4906
Mailing address
5600 SW 135TH AVE STE 207, MIAMI, FL 33183-5101
(786) 216-9484
(786) 866-4906
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
112129000
—
FL
Enumeration date
02/14/2023
Last updated
02/14/2023
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