Provider Demographics
NPI:1821752593
Name:CHILDREN'S CARE AND EMOTIONAL SUPPORT LLC
Entity Type:Organization
Organization Name:CHILDREN'S CARE AND EMOTIONAL SUPPORT LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:NERY
Authorized Official - Middle Name:
Authorized Official - Last Name:CAMEJO MORENO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:786-501-0089
Mailing Address - Street 1:20100 SW 122ND AVE APT 104
Mailing Address - Street 2:
Mailing Address - City:HOMESTEAD
Mailing Address - State:FL
Mailing Address - Zip Code:33177
Mailing Address - Country:US
Mailing Address - Phone:786-501-0089
Mailing Address - Fax:
Practice Address - Street 1:20100 SW 122ND AVE APT 104
Practice Address - Street 2:
Practice Address - City:HOMESTEAD
Practice Address - State:FL
Practice Address - Zip Code:33177
Practice Address - Country:US
Practice Address - Phone:786-501-0089
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-10-28
Last Update Date:2021-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior TechnicianGroup - Single Specialty