| NPI | 1548835986 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DENISE MELENDEZ Contract Manager 954-857-8479 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Additional Taxonomies | 251B00000X Case Management |
| 251S00000X | |
| Enumeration Date | 2021-05-26 |
| Last Update Date | 2021-06-08 |