Healthcare Provider Details

I. General information

NPI: 1255521894
Provider Name (Legal Business Name): DIMENSIONS ACHIEVEMENTS IN THERAOPY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/30/2007
Last Update Date: 07/30/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

20704 W DIXIE HWY
AVENTURA FL
33180-1146
US

IV. Provider business mailing address

1460 NE 142ND ST
NORTH MIAMI FL
33161-3013
US

V. Phone/Fax

Practice location:
  • Phone: 305-933-5887
  • Fax: 305-933-8991
Mailing address:
  • Phone: 305-981-2506
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code320600000X
TaxonomyIntellectual and/or Developmental Disabilities Residential Treatment Facility
License Number
License Number State

VIII. Authorized Official

Name: MS. WIDELINE DORVIZ
Title or Position: SPEECH- LANGUAGE PATHOLOGY ASSISTTA
Credential: SL1172
Phone: 305-933-5887