| NPI | 1669191755 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILHELMINA N. LEWIS CEO 561-844-9443 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Additional Taxonomies | 208D00000X General Practice |
| Enumeration Date | 2022-08-23 |
| Last Update Date | 2022-08-23 |