Organization
P A T H CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WALTER L RICARDO (PRESIDENT)
(786) 886-8695
Entity
Organization
Contact information
Practice address
75 HARNESS LN, KISSIMMEE, FL 34743-7705
(786) 886-8695
Mailing address
5545 W 24TH AVE APT 206, HIALEAH, FL 33016-4776
(786) 886-8695
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
09/14/2021
Last updated
09/14/2021
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