| NPI | 1982869699 |
|---|---|
| Other Name | MOTHER THERESA |
| Entity Type | Organization |
| Authorized Contact | SHEDRICK BOREN Executive Director 305-577-4840 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2008-07-22 |
| Last Update Date | 2014-07-10 |