Provider Demographics
NPI:1689621112
Name:FAMILY, ADULT & CHILD ENRICHMENT SERVICES, INC.
Entity Type:Organization
Organization Name:FAMILY, ADULT & CHILD ENRICHMENT SERVICES, INC.
Other - Org Name:FACES, INC.
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:FELIX
Authorized Official - Middle Name:ORLANDO
Authorized Official - Last Name:PADRON
Authorized Official - Suffix:
Authorized Official - Credentials:PSYD, LMHC, CAP
Authorized Official - Phone:305-448-6000
Mailing Address - Street 1:PO BOX 144615
Mailing Address - Street 2:
Mailing Address - City:CORAL GABLES
Mailing Address - State:FL
Mailing Address - Zip Code:33114-4615
Mailing Address - Country:US
Mailing Address - Phone:305-448-6000
Mailing Address - Fax:305-441-7933
Practice Address - Street 1:3001 PONCE DE LEON BLVD
Practice Address - Street 2:SUITE 102
Practice Address - City:CORAL GABLES
Practice Address - State:FL
Practice Address - Zip Code:33134-6824
Practice Address - Country:US
Practice Address - Phone:305-448-6000
Practice Address - Fax:305-441-7933
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-29
Last Update Date:2013-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLHCC8022261QM0801X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)