NPI | 1336152347 |
---|---|
Entity Type | Organization |
Authorized Contact | BRODES H. HARTLEY CEO 305-253-5100 |
Organization Subpart ? | No |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) (Licence: FL 3928521) |
Additional Taxonomies | 251C00000X Day Training, Developmentally Disabled Services |
251B00000X Case Management | |
251S00000X | |
Enumeration Date | 2006-08-14 |
Last Update Date | 2020-10-06 |