| NPI | 1598103004 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DARCY DAVIS CEO 561-804-5885 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2013-06-06 |
| Last Update Date | 2020-03-10 |