Organization
KIDS IN DISTRESS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. TONIANN BUTLER MSW (CHILD AND FAMILY THERAPIST)
(954) 390-7654
Entity
Organization
Contact information
Practice address
819 NE 26TH ST, WILTON MANORS, FL 33305-1239
(954) 390-7654
Mailing address
819 NE 26TH ST, WILTON MANORS, FL 33305-1239
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
FL
Other
Enumeration date
09/19/2012
Last updated
09/19/2012
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