Healthcare Provider Details

I. General information

NPI: 1770289977
Provider Name (Legal Business Name): DCH GROUP SERVICES CORP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/31/2023
Last Update Date: 01/31/2023
Certification Date: 01/31/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3785 NW 82ND AVE STE 211
DORAL FL
33166-6630
US

IV. Provider business mailing address

3785 NW 82ND AVE STE 211
DORAL FL
33166-6630
US

V. Phone/Fax

Practice location:
  • Phone: 786-274-2712
  • Fax:
Mailing address:
  • Phone: 786-274-2712
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number State

VIII. Authorized Official

Name: DANAYS GONZALEZ
Title or Position: CEO
Credential:
Phone: 786-274-2712