| NPI | 1336583004 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BLAKE HALL President/CEO 305-252-4853 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QF0400X Clinic/Center Federally Qualified Health Center (FQHC) |
| Additional Taxonomies | 251S00000X Community/Behavioral Health (Licence: FL 1309) |
| 208D00000X General Practice | |
| Enumeration Date | 2013-04-24 |
| Last Update Date | 2024-08-29 |