NPI | 1487188058 |
---|---|
Entity Type | Organization |
Authorized Contact | CHRISTINE ANN HACKFORD Executive Director 321-724-1177 |
Organization Subpart ? | No |
Primary Taxonomy | 261QC1500X Clinic/Center, Community Health |
Additional Taxonomies | 261QC1500X Clinic/Center, Community Health |
Enumeration Date | 2017-04-20 |
Last Update Date | 2018-03-28 |