Healthcare Provider Details

I. General information

NPI: 1255236352
Provider Name (Legal Business Name): CENTER FOR FAMILY AND CHILD ENRICHMENT, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/09/2026
Last Update Date: 10/09/2026
Certification Date: 10/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1825 NW 167TH ST
MIAMI GARDENS FL
33056-4838
US

IV. Provider business mailing address

1825 NW 167TH ST
MIAMI GARDENS FL
33056-4838
US

V. Phone/Fax

Practice location:
  • Phone: 305-624-7450
  • Fax:
Mailing address:
  • Phone: 305-624-7450
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QF0400X
TaxonomyFederally Qualified Health Center (FQHC)
License Number
License Number StateNULL

VIII. Authorized Official

Name: TOMARA DALZELL GRAHAM MAYS
Title or Position: CEO
Credential:
Phone: 954-825-0299