| NPI | 1558696187 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EGHOSA AIDEYAN Managing Director 305-763-4822 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QC1500X Clinic/Center Community Health |
| Additional Taxonomies | 251E00000X Home Health |
| 251S00000X Community/Behavioral Health | |
| Enumeration Date | 2009-10-15 |
| Last Update Date | 2009-10-15 |