| NPI | 1083294524 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHARA S VINCENT Owner 954-873-4433 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services |
| Additional Taxonomies | 163WC0400X Registered Nurse, Case Management |
| Enumeration Date | 2021-04-09 |
| Last Update Date | 2021-05-14 |