Organization Name: | ADVANCED HEALTHCARE ALTERNATIVES CENTER FOR INTEGRATIVE MEDICINE AND |
NPI Number: | 1063866358 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | SHARON MCREYNOLDS (PRESIDENT) |
Mailing Address: | 5404 Main St New Port Richey |
State: | FL US |
Postal Code: | 346522503 |
Phone Number: | 7278492277 |
Fax Number: | 7275974789 |
NPI Enumeration Date: | 04/22/2016 |
NPI Last Update Date: | 04/22/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |