Organization
BTA COMMUNITY SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. BRIDGET NANETTE MOORE MS (EXECUTIVE DIRECTOR)
(786) 267-5997
Entity
Organization
Contact information
Practice address
12551 SW 204 TERRCE, MIAMI, FL 33177
(786) 267-5997
(305) 971-0403
Mailing address
12551 SW 204TH TER, MIAMI, FL 33177-5629
(786) 267-5997
(305) 971-0403
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
252Y00000X
Early Intervention Provider Agency
Primary
—
—
253J00000X
Foster Care Agency
—
—
Other
Enumeration date
04/30/2008
Last updated
05/01/2008
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