| NPI | 1023753662 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROY WILLIAM PRILLAMAN Operations 786-559-2723 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QC1500X Clinic/Center, Community Health |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 207QA0401X Family Medicine, Addiction Medicine | |
| 251B00000X Case Management | |
| 261QC1800X Clinic/Center, Corporate Health | |
| 261QR1300X Clinic/Center, Rural Health | |
| 261QU0200X Clinic/Center, Urgent Care | |
| 333300000X Emergency Response System Companies | |
| 363LP2300X Nurse Practitioner, Primary Care | |
| Enumeration Date | 2022-04-28 |
| Last Update Date | 2022-04-28 |