NPI | 1124811724 |
---|---|
Entity Type | Organization |
Authorized Contact | YOUNG ARUWA President 786-344-5680 |
Organization Subpart ? | No |
Primary Taxonomy | 207QA0505X Family Medicine, Adult Medicine |
Additional Taxonomies | 207Q00000X Family Medicine |
261Q00000X Clinic/Center | |
261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
Enumeration Date | 2025-05-27 |
Last Update Date | 2025-09-08 |