Organization
THREE HEARTS ADT,LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. YITZHAK RIVERO FMD,BA,MA (PROGRAM DIRECTOR)
(786) 378-0909
Entity
Organization
Contact information
Practice address
2055 LEE ST, HOLLYWOOD, FL 33020-2410
(786) 378-0909
Mailing address
2055 LEE ST, HOLLYWOOD, FL 33020-2410
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
2017-CU-0123
FL
Other
Enumeration date
03/02/2017
Last updated
03/02/2017
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