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Organization
THERAPEUTIC REBIRTH CORPORATION
Active
Organization
THERAPEUTIC REBIRTH CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. EDUARDO ALVAREZ LMHC (PRESIDENT)
(305) 905-0631
Entity
Organization
Contact information
Practice address
4310 SW 164TH CT, MIAMI, FL 33185-5293
(305) 905-0631
Mailing address
4310 SW 164TH CT, MIAMI, FL 33185-5293
(305) 905-0631
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
MH7550
FL
261QD1600X
Developmental Disabilities Clinic/Center
MH7550
FL
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
MH7550
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
017436200
—
FL
Enumeration date
06/21/2017
Last updated
07/21/2022
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