| NPI | 1831916220 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMY LOUISE HALSTEAD CEO 305-517-6613 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2024-09-25 |
| Last Update Date | 2024-12-11 |