| NPI | 1770327454 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSE A MONTES SANTANA President 954-366-9888 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 251B00000X Case Management |
| 261QC1500X Clinic/Center, Community Health | |
| Enumeration Date | 2024-06-19 |
| Last Update Date | 2025-01-20 |