Organization
PARENT-CHILD BEHAVIOR CLINIC, INC.
Active
Organization
PARENT-CHILD BEHAVIOR CLINIC, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BENJAMIN F ISOM PSY.D (LICENSED PSCHOLOGIST)
(305) 652-1081
Entity
Organization
Contact information
Practice address
111 NW 183RD ST, SUITE 351, MIAMI, FL 33169-4537
(305) 652-1081
(305) 652-3095
Mailing address
111 NW 183RD ST, SUITE 351, MIAMI, FL 33169-4537
(305) 652-1081
(305) 652-3095
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
PY3916
FL
Other
Enumeration date
10/09/2012
Last updated
10/09/2012
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