Organization
CHILD BEHAVIOR CENTER, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LOURDES RIVERA GONZALES (OWNER)
(407) 201-4936
Entity
Organization
Contact information
Practice address
897 TOWNE CENTER DR STE 101, KISSIMMEE, FL 34759-3473
(407) 201-4936
Mailing address
897 TOWNE CENTER DR STE 101, KISSIMMEE, FL 34759-3473
(407) 201-4936
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
05/10/2023
Last updated
05/10/2023
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