| NPI | 1720607377 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD SICLARI CEO 305-573-1234 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2020-04-14 |
| Last Update Date | 2020-04-14 |