Organization
CENTER FOR FAMILY AND CHILD ENRICHMENT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ADRIENNE RUTHERFORD MS (MENTAL HEALTH THERAPIST)
(305) 624-7450
Entity
Organization
Contact information
Practice address
1825 NW 167TH ST, 102, MIAMI GARDENS, FL 33056-4838
(305) 624-7450
(305) 623-7893
Mailing address
1825 NW 167TH ST, MIAMI GARDENS, FL 33056-4838
(305) 624-7450
(305) 623-7893
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
104IC0700X
FL
Other
Enumeration date
04/27/2017
Last updated
04/27/2017
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