Provider Demographics
NPI:1568011138
Name:IKARE ENRICHMENT CENTER INC
Entity Type:Organization
Organization Name:IKARE ENRICHMENT CENTER INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:DEBRISHA
Authorized Official - Middle Name:N
Authorized Official - Last Name:GLOSTER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:954-261-6604
Mailing Address - Street 1:13227 NW 7TH AVE
Mailing Address - Street 2:
Mailing Address - City:NORTH MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33168-2803
Mailing Address - Country:US
Mailing Address - Phone:786-703-9866
Mailing Address - Fax:786-703-9866
Practice Address - Street 1:13327 NW 7TH AVENUE
Practice Address - Street 2:
Practice Address - City:NORTH MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33168-3316
Practice Address - Country:US
Practice Address - Phone:786-703-9866
Practice Address - Fax:786-300-3579
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-09-06
Last Update Date:2023-05-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
No261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)