Organization
PSYCHOTHERPAY AND CREATIVITY CENTER OF BOCA RATON LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARIA CHRISTINA OLIVEROS LCSW (PRESIDENT)
(561) 376-9894
Entity
Organization
Contact information
Practice address
7025 BERACASA WAY, SUITE 102-A, BOCA RATON, FL 33433-3443
(561) 376-9894
Mailing address
5640 ARBOR CLUB WAY, APARTMENT 14, BOCA RATON, FL 33433-5688
(561) 376-9894
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
SW5996
FL
Other
Enumeration date
06/29/2015
Last updated
06/29/2015
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