| NPI | 1114115870 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHARON ARAGONA Vice President 239-658-3035 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2007-10-09 |
| Last Update Date | 2007-10-09 |