OrganizationActive
Bodhi Tree Therapeutic Services
NPI 1134855869 · Adult Mental Health Clinic/Center · Orlando, FL
Provider details
- NPI number
- 1134855869
- Entity type
- Organization
- Primary specialty
- Adult Mental Health Clinic/CenterAmbulatory Health Care Facilities
- Authorized official
- Shakira Vasquez Moscoso, Owner
Mailing address
5512 Fairfax St
Orlando, FL 32812-7732
Registry dates
- Enumerated
- 2022-07-26
- Last updated
- 2022-07-26
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.