| NPI | 1700329711 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANA SHULTZ CEO 305-517-6613 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2016-11-22 |
| Last Update Date | 2016-11-23 |