| NPI | 1285415661 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEANNA WARREN CEO 561-806-6835 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2023-10-11 |
| Last Update Date | 2023-10-11 |