Provider Demographics
NPI:1093089054
Name:HEALTH THERAPY CENTER CORP
Entity Type:Organization
Organization Name:HEALTH THERAPY CENTER CORP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:YANIO
Authorized Official - Middle Name:
Authorized Official - Last Name:MONTES DE OCA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:786-449-2014
Mailing Address - Street 1:2955 SW 8TH ST
Mailing Address - Street 2:APT.202 A
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33135-2862
Mailing Address - Country:US
Mailing Address - Phone:305-698-7128
Mailing Address - Fax:
Practice Address - Street 1:2955 SW 8TH ST
Practice Address - Street 2:APT.202 A
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33135-2862
Practice Address - Country:US
Practice Address - Phone:305-698-7128
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-03-08
Last Update Date:2012-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLHCC9282251C00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251C00000XAgenciesDay Training, Developmentally Disabled Services