Organization
AMIKIDS RIO GRANDE VALLEY, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMY BRADSHAW-HOPPOCK LMHC (NATIONAL DIRECTOR-MENTAL HEALTH)
(386) 846-9017
Entity
Organization
Contact information
Practice address
27615 BUENA VISTA BLVD, LOS FRESNOS, TX 78566-4377
(956) 233-5795
Mailing address
5915 BENJAMIN CENTER DR, TAMPA, FL 33634-5239
(813) 734-5678
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
—
—
Other
Enumeration date
03/25/2022
Last updated
03/29/2023
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