| NPI | 1730121435 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROSALYN R. FRAZIER CEO 954-967-0028 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) (Licence: FL 0612604) |
| Enumeration Date | 2006-06-10 |
| Last Update Date | 2015-05-27 |