Organization
HIBISCUS CHILDRENS CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHERON BUTLER MA (PSYCHOTHERAPIST)
(772) 882-4074
Entity
Organization
Contact information
Practice address
5091 E PORTOFINO LANDINGS BLVD, UNIT 201, FORT PIERCE, FL 34947-5444
(772) 882-4074
Mailing address
5091 E PORTOFINO LANDINGS BLVD, UNIT 201, FORT PIERCE, FL 34947-5444
Taxonomy
Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
Primary
—
—
Other
Enumeration date
01/12/2011
Last updated
01/12/2011
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