Provider Demographics
NPI:1063203974
Name:CHILDREN AND FAMILIES OF RESTORATION MINISTRIES, INC
Entity type:Organization
Organization Name:CHILDREN AND FAMILIES OF RESTORATION MINISTRIES, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MAURILUS
Authorized Official - Middle Name:
Authorized Official - Last Name:JEAN BAPTISTE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:954-825-9142
Mailing Address - Street 1:PO BOX 8926
Mailing Address - Street 2:
Mailing Address - City:FORT LAUDERDALE
Mailing Address - State:FL
Mailing Address - Zip Code:33310-8926
Mailing Address - Country:US
Mailing Address - Phone:954-553-7099
Mailing Address - Fax:
Practice Address - Street 1:3986 NW 19TH ST
Practice Address - Street 2:
Practice Address - City:LAUDERHILL
Practice Address - State:FL
Practice Address - Zip Code:33311-4126
Practice Address - Country:US
Practice Address - Phone:954-213-2709
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-05-13
Last Update Date:2025-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TH0100XBehavioral Health & Social Service ProvidersPsychologistHealth ServiceGroup - Multi-Specialty