Organization
GLORY PSYCHIATRIC CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JUAN BELOSO (ADMINISTRATOR)
(407) 894-6980
Entity
Organization
Contact information
Practice address
2316 HILLCREST ST, ORLANDO, FL 32803-4900
(407) 894-6980
(407) 894-6982
Mailing address
1836 WOODWARD ST, ORLANDO, FL 32803-4256
(407) 894-6980
(407) 894-6982
Taxonomy
Speciality
Code
Description
License number
State
103TP2701X
Group Psychotherapy Psychologist
Primary
—
—
Other
Enumeration date
01/20/2007
Last updated
12/16/2010
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