Provider Demographics
NPI:1578062774
Name:CHILD & FAMILY BEHAVIORAL SERVICES, INC.
Entity Type:Organization
Organization Name:CHILD & FAMILY BEHAVIORAL SERVICES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:VIVIANA
Authorized Official - Middle Name:VERONICA
Authorized Official - Last Name:DOBAL
Authorized Official - Suffix:
Authorized Official - Credentials:OWNER
Authorized Official - Phone:786-267-1735
Mailing Address - Street 1:3750 W 16TH AVE STE 226U
Mailing Address - Street 2:
Mailing Address - City:HIALEAH
Mailing Address - State:FL
Mailing Address - Zip Code:33012-4648
Mailing Address - Country:US
Mailing Address - Phone:786-267-1735
Mailing Address - Fax:786-332-3339
Practice Address - Street 1:3750 W 16TH AVE STE 226U
Practice Address - Street 2:
Practice Address - City:HIALEAH
Practice Address - State:FL
Practice Address - Zip Code:33012-4648
Practice Address - Country:US
Practice Address - Phone:786-267-1735
Practice Address - Fax:786-332-3339
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-02-03
Last Update Date:2018-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health