Organization
OUR SACRED ACADEMY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATHERINE YEPES MS GUIDANCE COUNSEL (CEO/FOUNDER)
(786) 286-0667
Entity
Organization
Contact information
Practice address
2224 S JOG RD, GREENACRES, FL 33415-6101
(786) 286-0667
Mailing address
2224 S JOG RD, GREENACRES, FL 33415-6101
(786) 286-0667
Taxonomy
Speciality
Code
Description
License number
State
261QD1600X
Developmental Disabilities Clinic/Center
Primary
—
—
Other
Enumeration date
12/01/2020
Last updated
12/01/2020
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