Organization
COUNSELING CENTER OF MIAMI
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GRETTEL MARTINEZ PSY.D. (EXECUTIVE OFFICER)
(305) 269-3900
Entity
Organization
Contact information
Practice address
7950 W FLAGLER ST, SUITE 106, MIAMI, FL 33144-2206
(305) 269-3900
Mailing address
7950 W FLAGLER ST, SUITE 106, MIAMI, FL 33144-2206
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
PY8212
FL
252Y00000X
Early Intervention Provider Agency
PY8212
FL
Other
Enumeration date
09/26/2016
Last updated
09/26/2016
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