Organization
GO PLAY THERAPY CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SILVIA HERNANDEZ (OWNER/ MANAGER)
(256) 979-1222
Entity
Organization
Contact information
Practice address
2804 GREENHILL BLVD NW, FORT PAYNE, AL 35968-3066
(256) 979-1222
(256) 979-1223
Mailing address
66 COUNTY ROAD 100, FYFFE, AL 35971-5161
(265) 979-1222
(256) 979-1223
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
01/07/2015
Last updated
01/07/2015
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