Organization
INSTITUTE FOR CHILD AND FAMILY HEALTH
Active
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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