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Organization

ALPHA THERAPY CENTER INC

Active
Other names
ALPHA THERAPY CENTER INC
Organization subpart
No

Provider details

NPI number
Authorized official
MAYLIN NURQUE MARTINEZ (OWNER)
(305) 603-9202
Entity
Organization

Contact information

Practice address
1840 W 49TH ST STE 515, HIALEAH, FL 33012-2950
(305) 603-9202
(305) 603-9203
Mailing address
1840 W 49TH ST STE 408, HIALEAH, FL 33012-2978
(305) 603-9202

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
207Q00000X
Family Medicine Physician
208100000X
Physical Medicine & Rehabilitation Physician
208D00000X
General Practice Physician
225100000X
Physical Therapist
251S00000X
Community/Behavioral Health Agency
261QF0400X
Federally Qualified Health Center (FQHC)
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
3245S0500X
Children's Substance Abuse Rehabilitation Facility

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
120625300
FL
Enumeration date
10/09/2023
Last updated
03/28/2025
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