Organization
BRIDGE OF HOPE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. HECTOR L RODRIGUEZ I AB (DIRECTOR)
(407) 575-4636
Entity
Organization
Contact information
Practice address
818 N MAIN ST, KISSIMMEE, FL 34744-4564
(407) 575-4636
(407) 343-5599
Mailing address
PO BOX 452878, KISSIMMEE, FL 34745-2878
(407) 575-4636
(407) 343-5599
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
1041C0700X
Clinical Social Worker
—
—
Other
Enumeration date
04/19/2016
Last updated
04/19/2016
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