REBORN THERAPY CENTER NPI 1730710211

NPI Information

  • NPI: 1730710211
  • Provider Name: REBORN THERAPY CENTER
  • Classification: Clinic/Center - 261QM0855X
  • Specialization: Adolescent and Children Mental Health
  • Entity Type: Organization
  • Doing Business As: CHATEAU GROUP HOME
  • Address: 4710 W IRLO BRONSON MEMORIAL HWY
    KISSIMMEE, FL
    ZIP 34746
  • Phone: (321) 337-9391

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NPI Details

REBORN THERAPY CENTER is an adolescent and children mental health clinic center in Kissimmee, FL. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training. REBORN THERAPY CENTER NPI is 1730710211. The provider is registered as an organization entity type.
The provider Is Doing Business As Chateau Group Home.

The provider's business location address is:

4710 W IRLO BRONSON MEMORIAL HWY
KISSIMMEE, FL
ZIP 34746-325
Phone: (321) 337-9391
Fax: (407) 264-6421

The provider's authorized official is Hector L Rodriguez .
The authorized official title is Director and has the following contact phone number (321) 337-9391.

The enumeration date for this NPI number is 2/3/2020 and was last updated on 9/8/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QD1600XClinic/CenterDevelopmental DisabilitiesNo
2261QM0855XClinic/CenterAdolescent and Children Mental HealthYes

What is NPI?

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This page was last updated on: 11/21/2025

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