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Organization

POSSIBILITY PLACE PSC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MICHAEL TROTTA (PRESIDENT)
(270) 501-0858
Entity
Organization

Contact information

Practice address
56 CAMBRIDGE CT, VINE GROVE, KY 40175-5100
(270) 501-0858
(270) 828-8051
Mailing address
56 CAMBRIDGE CT, VINE GROVE, KY 40175-5100
(270) 501-0858
(270) 828-8051

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1095557
FL

Other

Enumeration date
02/07/2011
Last updated
02/07/2011
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