Organization
OLIVOS THERAPY HUB INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WILDER BARO FERNANDEZ (CEO)
(786) 872-9683
Entity
Organization
Contact information
Practice address
801 NORTHPOINT PKWY STE 35, WEST PALM BEACH, FL 33407-1991
(786) 872-9683
Mailing address
801 NORTHPOINT PKWY STE 35, WEST PALM BEACH, FL 33407-1991
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
05/21/2021
Last updated
06/04/2021
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