Organization
PRESTIGE CHILD THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KARLA DEL MAR RAMIREZ (PRESIDENT)
(787) 447-5294
Entity
Organization
Contact information
Practice address
2500 NW 79TH AVE STE 256, MIAMI, FL 33122-1087
(787) 447-5294
Mailing address
1801 SW 3RD AVE STE 402, MIAMI, FL 33129-1533
(787) 447-5294
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
—
—
261Q00000X
Clinic/Center
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Enumeration date
03/30/2021
Last updated
03/07/2022
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