Organization
ESSS
Active
Parent organization
MIAMI DADE COUNTY
Organization subpart
Yes
Provider details
NPI number
Legal business name
MIAMI DADE COUNTY
Authorized official
MR. RAYMOND WHITE LCSW (MANAGER)
(305) 375-3293
Entity
Organization
Contact information
Practice address
140 W FLAGLER ST, SUITE 1001, MIAMI, FL 33130-1519
(305) 375-3293
(305) 375-4672
Mailing address
140 W FLAGLER ST, SUITE 1001, MIAMI, FL 33130-1519
(305) 375-3293
(305) 375-4672
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
1113AD057331
FL
Other
Enumeration date
05/09/2012
Last updated
05/09/2012
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