DADE FAMILY COUNSELING COMMUNITY MENTAL HEALTH CENTER, INC
Ambulatory Health at 17 Ave, Miami, FL

License number
Florida 101454
Category
Ambulatory Health
Type
Mental Health (Including Community Mental Health Center)
Owner
Name: MS. MARIA E FIELDS LCSW
Title: PRESIDENT
Phone: (305) 774-9570
Address
Address
1951 NW 17Th Ave, Miami, FL 33135
National Provider ID: 1427055417
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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DADE FAMILY COUNSELING COMMUNITY MENTAL HEALTH CENTER, INC

4343 W Flagler St SUITE 100, Miami, FL 33134

Registration:
Jul 16, 2003
State ID:
P03000078398
Business type:
Florida Profit Corporation
Owners:
Lourdes M Rodriguez (Chief Financial Officer, Vice-President, Treasurer, Director, Vice President), 4270 SW 14 St, Miami, FL 33134 (Physical),Maria E Fields (Licenced Clinical Social Worker, Social Worker, President, Director, Secretary), 6226 NW 113 Ct, Miami, FL 33178 (Physical),Emelina A. Arocha (Psychiatry),...
Agent:
Vargas, Andrew, Esq,2103 Coral Way SUITE 602, Miami, FL 33145 (Physical)
EIN:
141890033

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