| NPI | 1174067565 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHLEEN A. FRIEND Np/ President 561-601-4151 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: FL 1169282) |
| Enumeration Date | 2016-12-05 |
| Last Update Date | 2016-12-05 |