NPI | 1588292502 |
---|---|
Entity Type | Organization |
Authorized Contact | RASHAN J. JONES CEO 321-438-5594 |
Organization Subpart ? | No |
Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
Additional Taxonomies | 171R00000X Interpreter |
207QA0505X Family Medicine, Adult Medicine | |
2084A0401X Psychiatry & Neurology, Addiction Medicine | |
261QC1500X Clinic/Center, Community Health | |
363L00000X Nurse Practitioner | |
Enumeration Date | 2020-03-27 |
Last Update Date | 2024-10-22 |