| NPI | 1508010323 |
|---|---|
| Other Name | G. HOLMES BRADDOCK SENIOR HIGH |
| 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) |
| Enumeration Date | 2008-11-06 |
| Last Update Date | 2013-09-19 |