Healthcare Provider Details
I. General information
NPI: 1790628386
Provider Name (Legal Business Name): CENTER FOR FAMILY AND CHILD ENRICHMENT, INC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 04/10/2026
Last Update Date: 04/10/2026
Certification Date: 04/07/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1825 NW 167TH ST STE 102
MIAMI GARDENS FL
33056-4838
US
IV. Provider business mailing address
1825 NW 167TH ST STE 102
MIAMI GARDENS FL
33056-4838
US
V. Phone/Fax
- Phone: 305-624-7450
- Fax:
- Phone: 305-624-7450
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 3336C0003X |
| Taxonomy | Community/Retail Pharmacy |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
TOMARA
DALZELL
GRAHAM MAYS
Title or Position: CEO
Credential:
Phone: 954-825-0299