Organization
BASIC TREATMENT CENTER CORP
Active
Organization
BASIC TREATMENT CENTER CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RAFAEL RODRIGUEZ (PRESIDENT)
(786) 237-1715
Entity
Organization
Contact information
Practice address
1051 W 29TH ST, SUITE 2, HIALEAH, FL 33012-5057
(786) 237-1715
(305) 631-1180
Mailing address
1051 W 29TH ST, SUITE 2, HIALEAH, FL 33012-5057
(786) 237-1715
(305) 631-1180
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
599171-7
FL
Other
Enumeration date
10/12/2006
Last updated
08/22/2020
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