| NPI | 1447578125 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEANNA MOULTRIE WARREN CEO 561-735-6553 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center Federally Qualified Health Center (FQHC) |
| Additional Taxonomies | 261QC1500X Clinic/Center Community Health |
| 208D00000X General Practice | |
| Enumeration Date | 2010-05-05 |
| Last Update Date | 2024-11-04 |