Organization
GAIA CLINICAL SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GLADIS RODRIGUEZ (PRESIDENT)
(863) 288-0065
Entity
Organization
Contact information
Practice address
511 LEMON ST, AUBURNDALE, FL 33823-4232
(863) 288-0065
Mailing address
511 LEMON ST, AUBURNDALE, FL 33823-4232
(863) 288-0065
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
SW7818
FL
Other
Enumeration date
01/17/2011
Last updated
01/17/2011
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