| NPI | 1073982831 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEANNA M WARREN Executive Director/CEO 561-735-6553 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2015-09-22 |
| Last Update Date | 2019-06-04 |