NPI | 1699106088 |
---|---|
Entity Type | Organization |
Authorized Contact | DELORES DUNN CEO 305-474-1739 |
Organization Subpart ? | No |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Enumeration Date | 2013-12-10 |
Last Update Date | 2018-05-23 |