NPI | 1427593896 |
---|---|
Entity Type | Organization |
Authorized Contact | DARCY DAVIS CEO 561-804-5885 |
Organization Subpart ? | No |
Primary Taxonomy | 261QF0400X Clinic/Center Federally Qualified Health Center (FQHC) |
Additional Taxonomies | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
Enumeration Date | 2016-12-21 |
Last Update Date | 2020-03-10 |