| NPI | 1881131423 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BENJAMIN SPENCE CFO 239-343-6014 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2017-01-20 |
| Last Update Date | 2023-04-26 |