| NPI | 1821667981 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LIZEL V GONZALEZ Chief Human Resource Officer 305-538-8835 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2021-06-23 |
| Last Update Date | 2025-10-29 |