Organization
LIGHT OF HOPE BEHAVIOR THERAPY INC
Active
Organization
LIGHT OF HOPE BEHAVIOR THERAPY INC
Active
Other names
Light of Hope Medical Center
Organization subpart
No
Provider details
NPI number
Authorized official
TANIA H PEREZ GONZALEZ (PRESIDENT)
(786) 701-3109
Entity
Organization
Contact information
Practice address
15190 SW 136TH ST STE 27, MIAMI, FL 33196-2618
(786) 701-3109
(305) 747-7166
Mailing address
15190 SW 136TH ST STE 27, MIAMI, FL 33196-2618
(786) 701-3109
(305) 747-7166
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
05/07/2025
Last updated
05/07/2025
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