Organization
SACRED PSYCHE LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VIBEKE GONZALEZ (CEO)
(407) 484-8181
Entity
Organization
Contact information
Practice address
60 LEO M BIRMINGHAM PKWY, BRIGHTON, MA 02135-1123
(407) 484-8181
Mailing address
60 LEO M BIRMINGHAM PKWY, BRIGHTON, MA 02135-1123
Taxonomy
Speciality
Code
Description
License number
State
323P00000X
Psychiatric Residential Treatment Facility
Primary
—
—
Other
Enumeration date
10/21/2025
Last updated
10/21/2025
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