NPI | 1194326132 |
---|---|
Entity Type | Organization |
Authorized Contact | CHRISTOPHER FRANCIS IRIZARRY CEO 561-432-7901 |
Organization Subpart ? | No |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Enumeration Date | 2020-11-05 |
Last Update Date | 2024-12-17 |