Organization
THE CHILDREN'S PSYCHIATRIC CENTER, INC
Active
Organization
THE CHILDREN'S PSYCHIATRIC CENTER, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ALVARO DOMENECH LCSW (CLINICAL ON-SITE COORDINATOR)
(305) 274-3172
Entity
Organization
Contact information
Practice address
9380 SW 72ND ST STE B120, MIAMI, FL 33173-5456
(305) 274-3172
(305) 274-4831
Mailing address
9380 SW 72ND ST STE B120, MIAMI, FL 33173-5456
(305) 274-3172
(305) 274-4831
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
FL
Other
Enumeration date
10/06/2006
Last updated
07/21/2022
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