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Organization
ALPHA THERAPY CENTER INC
Active
Organization
ALPHA THERAPY CENTER INC
Active
Other names
ALPHA THERAPY CENTER INC
Organization subpart
No
Provider details
NPI number
Authorized official
MAYLIN NURQUE MARTINEZ (OWNER)
(305) 603-9202
Entity
Organization
Contact information
Practice address
1840 W 49TH ST STE 515, HIALEAH, FL 33012-2950
(305) 603-9202
(305) 603-9203
Mailing address
1840 W 49TH ST STE 408, HIALEAH, FL 33012-2978
(305) 603-9202
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
—
—
207Q00000X
Family Medicine Physician
—
—
208100000X
Physical Medicine & Rehabilitation Physician
—
—
208D00000X
General Practice Physician
—
—
225100000X
Physical Therapist
—
—
251S00000X
Community/Behavioral Health Agency
—
—
261QF0400X
Federally Qualified Health Center (FQHC)
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
3245S0500X
Children's Substance Abuse Rehabilitation Facility
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
120625300
—
FL
Enumeration date
10/09/2023
Last updated
03/28/2025
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