NPI | 1114805165 |
---|---|
Entity Type | Organization |
Authorized Contact | ILNISE MATHIEU Office Manager 954-251-0267 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X Community/Behavioral Health |
Additional Taxonomies | 261Q00000X Clinic/Center |
261QC1500X Clinic/Center, Community Health | |
261QH0100X Clinic/Center, Health Services | |
261QM1300X Clinic/Center, Multi-Specialty | |
Enumeration Date | 2025-08-26 |
Last Update Date | 2025-08-29 |