NPI | 1043689839 |
---|---|
Doing Business As | LIBERTY CITY ELEMENTARY |
Entity Type | Organization |
Authorized Contact | PAUL C. VELEZ CEO / President 305-576-6611 |
Organization Subpart ? | No |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Enumeration Date | 2015-09-22 |
Last Update Date | 2022-09-09 |