| NPI | 1205219003 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MANUEL ANDRES FERNANDEZ CEO 561-213-9211 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2015-06-30 |
| Last Update Date | 2025-04-15 |