NPI | 1699668194 |
---|---|
Entity Type | Organization |
Authorized Contact | DARREN WINGATE Owner 561-827-7409 |
Organization Subpart ? | No |
Primary Taxonomy | 261Q00000X Clinic/Center |
Additional Taxonomies | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
261QS0132X Clinic/Center, Ophthalmologic Surgery | |
Enumeration Date | 2025-06-02 |
Last Update Date | 2025-06-02 |