Organization
ESSS
Active
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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