| NPI | 1295032803 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAUL C. VELEZ CEO / President 305-576-6611 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center Federally Qualified Health Center (FQHC) |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2011-02-16 |
| Last Update Date | 2022-09-09 |