| NPI | 1265872774 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARCO GIORDANO CEO 267-597-3605 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Additional Taxonomies | 251J00000X Nursing Care |
| Enumeration Date | 2013-06-28 |
| Last Update Date | 2019-03-28 |