| NPI | 1942880943 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LESLIE G BRAVO CEO 954-297-9802 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2083P0901X Preventive Medicine, Public Health & General Preventive Medicine |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry |
| 251B00000X Case Management | |
| 251S00000X Community/Behavioral Health | |
| 261QC1500X Clinic/Center, Community Health | |
| 261QP2300X Clinic/Center, Primary Care | |
| 305S00000X Point of Service | |
| Enumeration Date | 2021-04-13 |
| Last Update Date | 2022-07-27 |