| NPI | 1801210299 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAUL CARL VELEZ CEO 305-576-1828 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2014-02-06 |
| Last Update Date | 2022-09-21 |