| NPI | 1205194883 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BELITA WYATT Chief Executive Officer 786-318-2337 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Additional Taxonomies | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| 251B00000X Case Management | |
| Enumeration Date | 2012-05-02 |
| Last Update Date | 2024-02-02 |