| NPI | 1720607377 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVEN SANTIAGO CEO 305-573-1234 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2020-04-14 |
| Last Update Date | 2025-01-24 |