| NPI | 1932775285 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BEATRICE FERNANDEZ Clinical Director/President 954-740-3452 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 261QC1500X Clinic/Center, Community Health |
| Enumeration Date | 2021-05-27 |
| Last Update Date | 2021-05-27 |