Organization
AJ THERAPY CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
YADENIS JIMENEZ (ADMINSITRATOR)
(813) 402-2079
Entity
Organization
Contact information
Practice address
6800 N DALE MABRY HWY STE 150, TAMPA, FL 33614-3979
(813) 402-2079
(813) 443-9942
Mailing address
6800 N DALE MABRY HWY STE 150, TAMPA, FL 33614-3979
(813) 402-2079
(813) 443-9942
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
10/06/2020
Last updated
10/06/2020
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