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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