| NPI | 1962095463 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TANIA RANGEL President 786-317-2899 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 261QC1500X Clinic/Center, Community Health |
| Enumeration Date | 2021-02-16 |
| Last Update Date | 2023-06-05 |