Organization
KIDS THERAPY SERVICES
Active
Other names
Kids Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CARL ANTHONY DE NOBREGA (MANAGER)
(305) 910-3247
Entity
Organization
Contact information
Practice address
144 NW 11TH ST, HOMESTEAD, FL 33030-4328
(305) 910-3247
Mailing address
190 NW 14TH ST, HOMESTEAD, FL 33030-4240
(305) 910-3247
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
10/12/2015
Last updated
10/12/2015
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