| NPI | 1164221412 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROSALYN FRAZIER CEO 954-266-2999 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2025-03-10 |
| Last Update Date | 2025-03-10 |