Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
AUDRAH HYATT
Active Sole ProprietorAUDRAH HYATT is a Emotionally Disturbed Children Residential Treatment healthcare provider located in ORANGE PARK, Florida. NPI 1194484295 is currently active in the NPPES registry. Verify at CMS.
Emotionally Disturbed Children Residential Treatment · ORANGE PARK, FL
Registration Details
- NPI Number
- 1194484295
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Dec 16, 2021 (4.7074903764754 yrs)
- Last Updated
- Dec 16, 2021
- Sole Proprietor
- Yes
Practice Information
- Address
-
767 BLANDING BLVD STE 110BORANGE PARK, FL, 320655788Browse FL providers · Browse ZIP 32065
- Phone
- 8033182052
- Fax
- 9042037302
- Primary Specialty
-
Emotionally Disturbed Children Residential Treatment
320900000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.