Organization
TRAUMA RESOLUTION CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TERESA DESCILO MSW (EXECUTIVE DIRECTOR)
(305) 374-9990
Entity
Organization
Contact information
Practice address
900 PERRINE AVE, PALMETTO BAY, FL 33157-5433
(305) 374-9990
(305) 374-9995
Mailing address
900 PERRINE AVE, PALMETTO BAY, FL 33157-5433
(305) 374-9990
(305) 374-9995
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
005432500
—
FL
Enumeration date
12/16/2015
Last updated
12/16/2015
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