Organization
OMEGA CENTER FOR AUTISM
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MIRLINE RICHARD (OWNER)
(561) 463-2883
Entity
Organization
Contact information
Practice address
5205 VILLAGE BLVD, WEST PALM BEACH, FL 33407-7907
(954) 532-0337
Mailing address
5205 VILLAGE BLVD, WEST PALM BEACH, FL 33407-7907
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
—
—
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
—
—
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
09/22/2023
Last updated
09/22/2023
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