Provider Demographics
NPI:1457769853
Name:TRAUMA RESOLUTION CENTER
Entity Type:Organization
Organization Name:TRAUMA RESOLUTION CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:TERESA
Authorized Official - Middle Name:
Authorized Official - Last Name:DESCILLO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-374-9990
Mailing Address - Street 1:3000 BISCAYNE BLVD
Mailing Address - Street 2:SUITE 210
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33137-4130
Mailing Address - Country:US
Mailing Address - Phone:305-374-9990
Mailing Address - Fax:305-374-9995
Practice Address - Street 1:3000 BISCAYNE BLVD
Practice Address - Street 2:SUITE 210
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33137-4130
Practice Address - Country:US
Practice Address - Phone:305-374-9990
Practice Address - Fax:305-374-9995
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-07-29
Last Update Date:2014-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251V00000XAgenciesVoluntary or Charitable