Organization
CARROUSEL THERAPY CENTER CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DALIS M RIVERA (PRESIDENT)
(407) 910-2941
Entity
Organization
Contact information
Practice address
1906 N JOHN YOUNG PKWY, KISSIMMEE, FL 34741-6684
(407) 910-2941
(888) 477-7678
Mailing address
1906 N JOHN YOUNG PKWY, KISSIMMEE, FL 34741-6684
(407) 910-2941
(888) 477-7678
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
171M00000X
Case Manager/Care Coordinator
—
—
2084P0800X
Psychiatry Physician
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
08/12/2021
Last updated
09/25/2024
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