Provider Demographics
NPI:1952157307
Name:EMBRACE THERAPY CENTER CORP.
Entity type:Organization
Organization Name:EMBRACE THERAPY CENTER CORP.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:OSNIEL
Authorized Official - Middle Name:
Authorized Official - Last Name:DUARTE MOREJON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:407-700-8739
Mailing Address - Street 1:941 W MORSE BLVD STE 100
Mailing Address - Street 2:
Mailing Address - City:WINTER PARK
Mailing Address - State:FL
Mailing Address - Zip Code:32789-3781
Mailing Address - Country:US
Mailing Address - Phone:407-770-8739
Mailing Address - Fax:
Practice Address - Street 1:941 W MORSE BLVD STE 100
Practice Address - Street 2:
Practice Address - City:WINTER PARK
Practice Address - State:FL
Practice Address - Zip Code:32789-3781
Practice Address - Country:US
Practice Address - Phone:407-770-8739
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-04-26
Last Update Date:2024-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty