Organization
PATRICIA'S ROCK
Active
Parent organization
PATRICIA'S ROCK
Organization subpart
Yes
Provider details
NPI number
Legal business name
PATRICIA'S ROCK
Authorized official
DELISA BONAPARTE (OWNER)
(904) 566-1975
Entity
Organization
Contact information
Practice address
425 W COLONIAL DR, 201, ORLANDO, FL 32804-6863
(904) 566-1975
Mailing address
425 W COLONIAL DR, 201, ORLANDO, FL 32804-6863
(904) 566-1975
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009272800
—
FL
Enumeration date
01/21/2016
Last updated
01/21/2016
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