| NPI | 1942483334 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CERETHA MAE THOMAS-MARSHALL Executive Director 561-662-4647 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QC1500X Clinic/Center, Community Health (Licence: FL hcc6147) |
| Enumeration Date | 2007-12-10 |
| Last Update Date | 2007-12-10 |