Organization
INSTITUTE FOR CHILD AND FAMILY HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS JUANITA GAYLE LANE MSW (REGISTED CLINICAL SOCIAL WORKER INT)
(305) 613-4831
Entity
Organization
Contact information
Practice address
9380 SW 72ND ST STE B120, MIAMI, FL 33173-5456
(305) 274-3738
(305) 274-4831
Mailing address
921 ALI BABA AVE, OPA LOCKA, FL 33054-3503
(305) 613-4831
(305) 795-1523
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
FL
Other
Enumeration date
04/30/2007
Last updated
06/17/2008
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