NPI | 1013588466 |
---|---|
Entity Type | Organization |
Authorized Contact | WILHELMINA N. LEWIS CEO & President 561-844-9443 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QF0400X Clinic/Center Federally Qualified Health Center (FQHC) |
Additional Taxonomies | 103T00000X Psychologist |
122300000X Dentist | |
207Q00000X Family Medicine | |
208000000X Pediatrics | |
Enumeration Date | 2021-07-07 |
Last Update Date | 2021-07-07 |