Provider Demographics
NPI:1396969101
Name:THE BERTHA ABESS CHILDREN'S CENTER
Entity type:Organization
Organization Name:THE BERTHA ABESS CHILDREN'S CENTER
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:RONALD
Authorized Official - Middle Name:K
Authorized Official - Last Name:FELTON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-756-7116
Mailing Address - Street 1:5801 BISCAYNE BLVD
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33137-2638
Mailing Address - Country:US
Mailing Address - Phone:305-756-7116
Mailing Address - Fax:305-756-9335
Practice Address - Street 1:5801 BISCAYNE BLVD
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33137-2638
Practice Address - Country:US
Practice Address - Phone:305-756-7116
Practice Address - Fax:305-756-9335
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-12
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health